首页|带线锚钉结合可吸收螺钉在髌骨粉碎性骨折治疗中的应用效果

带线锚钉结合可吸收螺钉在髌骨粉碎性骨折治疗中的应用效果

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目的 探讨带线锚钉结合可吸收螺钉在髌骨粉碎性骨折治疗中的临床应用效果.方法 对 27 例髌骨粉碎性骨折患者采用带线锚钉结合可吸收螺钉治疗的情况进行回顾性分析.结果 所有患者均顺利完成手术,手术时间 60~80 min,出血量 20~60 ml;术中均无血管、神经损伤.术后 5~7 d出院,并获得随访平均 3~6 个月.27 例术后切口一期愈合,其中 1 例切口裂开,通过门诊换药二期愈合,复查无骨折延迟愈合、不愈合及畸形愈合,无锚钉断裂、脱出发生.术后 1 个月Böstman髌骨骨折疗效评价:优 10 例,良 15 例,差 2 例,优良率 92.6%.术后 3 个月Böstman髌骨骨折疗效评价:优 21 例,良 5 例,差 1 例,优良率 96.3%.结论 带线锚钉内固定结合可吸收螺钉在粉碎性髌骨骨折中应用可有效恢复髌骨关节解剖结构,改善髌骨关节功能,为髌骨粉碎性骨折的治疗提供了新的思路、有益的补充,有一定的应用和推广价值.
Application effect of threaded anchor screws combined with absorbable screws in the treatment of comminuted patellar fractures
Objective To explore the clinical effect of threaded anchor screws combined with absorbable screws in the treatment of comminuted patellar fractures.Methods A retrospective analysis was conducted on 27 cases of comminuted patellar fractures treated with threaded anchor screws combined with absorbable screws.Results All patients successfully completed the operation with an operating time of 60-80 min and a bleeding volume of 20-60 ml;there was no vascular or nerve injury during the operation.The patients were discharged from hospital 5-7 d postoperatively,and were followed up for an average of 3-6 months.27 cases had one-stage postoperative incision healing,including 1 case of incision splitting,which was healed in the second stage by outpatient dressing change,and there was no delayed fracture healing,non-healing and deformity healing,and no anchor nail breakage or dislocation occurred in the review.The Böstman Patellar Fracture Functional Scale was used to evaluate the efficacy at 1 month after surgery:excellent in 10 cases,good in 15 cases,and poor in 2 cases,with an excellent-good rate of 92.6%.The Böstman Patellar Fracture Functional Scale was used to evaluate the efficacy at 3 months after surgery:excellent in 21 cases,good in 5 cases,and poor in 1 case,with an excellent-good rate of 96.3%.Conclusion Threaded anchor screws combined with absorbable screws is effective in the treatment of comminuted patellar fractures,and can restore the anatomical structure of patellar joint,improve the function of patellar joint,which provide a new idea and beneficial supplement for the treatment of comminted patellar fracture.It has certain application and promotion value.

PatellaComminuted fractureThreaded anchor screwsAbsorbable screws

梁永新、单金平

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224100 江苏省盐城市大丰区第三人民医院

髌骨 粉碎性骨折 带线锚钉 可吸收螺钉

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(11)
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