Comparison of early and the mid-term efficacy of rectangular wire loop tie with 8 steel cable and traditional Kirschner wire combined with cable fixation in the treatment of patellar fracture
Objective To compare the early and mid-term efficacy of rectangular wire loop tie combined with 8 steel cable and traditional Kirschner wire combine with steel cable fixation in the treatment of patellar fracture.Methods A retrospective study was conducted on 28 patients with patellar fracture in Department of Traumatic Orthopedics,Zhuzhou Central Hospital from January 2020 to June 2022,15 patients were fixed with rectangular wire loop tie combined with 8 steel cable and 13 patients were fixed with traditional Kirschner wire combine with steel cable.Operation time,intraoperative blood loss,fracture healing time,postoperative internal fixation irritation rate,and knee joint efficacy evaluation at 18 months postoperative follow-up were recorded in the two groups(lysholm evaluation criteria).Results There were no significant differences between the rectangular wire loop tie group and the Kirschner wire group in the amount of intraoperative blood loss,the time of fracture healing,and the evaluation of knee joint curative effect at the follow-up of 18 months after surgery(P＞0.05),but the rectangular tie group had shorter operation time and lower internal fixation irritation rate(P＜0.05).Conclusions Fixation of patellar fracture with rectangular wire loop tie combined with 8 steel cable can achieve the same prognostic effect as traditional Kirschner wire combined with steel cable fixation,but its operation time is shorter and can better avoid internal fixation irritation,which is worthy of clinical application.
万方数据
维普
