摘要
目的探讨髌骨针张力带与克氏针张力带治疗髌骨骨折的效果。方法选取2016年1月至2018年10月我院收治的髌骨骨折患者52例,根据手术方法分为两组。观察组(n=28)采用髌骨针张力带治疗,对照组(n=24)采用克氏针张力带治疗,比较两组患者的治疗效果及术后恢复情况。结果观察组的治疗优良率为96.43%,显著高于对照组的66.67%(P <0.05)。观察组的骨折愈合时间显著短于对照组(P <0.05)。治疗后,两组患者的HSS评分均显著升高,且观察组的HSS评分明显高于对照组(P均<0.05)。观察组的术后并发症发生率、退针率分别为3.57%、 0.00%,均显著低于对照组的33.33%、 20.83%(P <0.05)。结论与克氏针张力带比较,髌骨针张力带内固定治疗髌骨骨折的疗效较好,可显著缩短患者的骨折愈合时间,降低骨折端疼痛程度,降低退针率及术后并发症发生率,促进患者快速康复,值得临床推广应用。
Objective To explore the effect of patella needle tension band and Kirschner wire tension band in the treatment of patellar fracture. Methods 52 cases of patients with patellar fracture admitted to our hospital from January 2016 to October 2018 were selected and divided into two groups according to the surgical methods. The observation group(n=28) was treated with patella needle tension band, while the control group(n=24) was treated with Kirschner wire tension band. The treatment effects and postoperative recovery were compared between the two groups. Results The excellent and good rate of treatment in observation group was 96.43%,significantly higher than 66.67% in control group(P<0.05). The fracture healing time of the observation group was significantly shorter than that of control group(P<0.05). After treatment, the HSS scores of both groups significantly increased, and the HSS score of the observation group was significantly higher than that of the control group(all P<0.05). The incidence of postoperative complications and the needle withdrawal rate of the observation group were respectively 3.57% and 0.00%, significantly lower than 33.33% and 20.83% of the control group(P<0.05). Conclusions Compared with Kirschner wire tension band, the patella needle tension band internal fixation has better curative effect in the treatment of patellar fracture, can significantly shorten the fracture healing time, reduce the pain degree of fracture end,reduce the needle withdrawal rate and the incidence of postoperative complications, and promote the rapid recovery of patients, which is worthy of clinical promotion and application.
作者
郑春缠
王洪
郭万兴
ZHENG Chunchan;WANG Hong;GUO Wanxing(Department of Surgery, Lufeng People's Hospital, Lufeng 516511, China)
出处
《临床医学工程》
2019年第5期619-620,共2页
Clinical Medicine & Engineering
关键词
髌骨针
克氏针
髌骨骨折
退针率
骨折愈合率
Patella needle
Kirschner wire
Patellar fracture
Needle withdrawal rate
Fracture healing rate
