摘要
目的探讨应用多方向多根克氏针结合线缆张力带内固定治疗髌骨粉碎性骨折的临床疗效。方法回顾性分析2012年1月~2015年1月126例髌骨粉碎性骨折患者的临床资料,根椐Regazzoni分类:B3型73例,C2型40例,C3型13例。其中,63例行线缆张力带内固定治疗(研究组),63例行传统钢丝张力带内固定,比较两组疗效。结果研究组患者平均骨折愈合时间为(9.02±4.01)周,短于对照组(12.52±4.39)周,骨折愈合率为100%,高于对照组55.56%,差异均有统计学意义(P<0.05)。随访12个月,根据Bostman髌骨功能评分评定疗效:研究组优50例,良13例,对照组优38例,良15例,差10例;研究组优良率高于对照组(100%VS 84.13%),差异有统计学意义(P<0.05)。两组患者术后均未出现严重并发症。结论多方向多根克氏针结合线缆张力带内固定治疗髌骨粉碎性骨折,可使受累关节面可固定的骨折碎块得到相对稳定的固定,对软组织的损伤较小,有利于早期关节功能锻炼,并有效防止了骨折块再移位,是治疗髌骨粉碎性骨折的一种有效、可靠、方便的方法。
Objective To explore the clinical effect of internal fixation of multi-directions and multiwires combined with cable tension band for the treatment of comminuted patellar fracture. Methods The clinical data of 126 cases with comminuted patellar fractures admitted from January 2012 to January 2015 was retrospective analyzed,including 73 cases of B3,40 of C2 and 13 of C3 according to Regazzoni classification.63 cases as the study group were treated by internal fixation of cable tension band,and the other 63 cases as the control group were performed the internal fixation of traditional steel wire tension band. The therapeutic effect was compared between two groups. Results The average fracture healing time was（9. 02 ± 4. 01） weeks of the study group,and it was shorter than（12. 52 ± 4. 39） weeks of the control group（P0.05）. The total fracture healing rate of the study group was 100%,and it was higher than 55.56% of the control group（P 0.05）. According to Bostman patella scoring,the result revealed 50 of excellence and 13 of good in the study group,and 38 of excellence,15 of good and 10 of false in the control group. The fineness rate was higher in the study group than that in the control group（100% VS 84.13%,P0.05）. There were no postoperative complications in two groups. Conclusion The internal fixation of multi-directions and multi-wires combined with cable tension band can achieve metastable fixation of fractured bones on involved articular facet,mini-trauma of soft tissue,and early functional exercise and prevention of fractured bones re-shifting,and it is an effective,reliable and convenient therapy for comminuted patellar comminuted fracture.
作者
何家雄
吴征杰
曾焰辉
李灿辉
HE Jia-xiong;WU Zheng- fie;ZENG Yan-hui;LI Can-hui(Department of Orthopaedics, Foshan Hospital of Traditional Chinese Medical Hospital, Foshan 528000, Guangdong, Chin)
出处
《中国现代手术学杂志》
2017年第4期288-291,共4页
Chinese Journal of Modern Operative Surgery
关键词
髌骨骨折
骨折固定术
内
张力带
克氏针
patella fractures
fracture fixation, internal
tension band
Kirschner wire
