摘要
目的探析髌骨骨折患者采用切开复位克氏针张力带与闭合复位经皮双头加压空心钉内固定治疗效果及对患者疼痛的影响。方法收集本院2018年3月—2019年3月收治的髌骨骨折患者80例,按照单盲法随机分为两组:对照组40例给予切开复位克氏针张力带治疗,观察组40例给予闭合复位经皮双头加压空心钉内固定治疗,对比两组治疗效果。结果观察组的骨折愈合时间、损失角度、VAS评分和Lysholm评分分别为(9.35±1.51)周、(10.55±5.36)°、(0.78±0.25)分、(90.54±4.51)分,均显著优于对照组(t=12.239、6.324、10.799、9.001,P<0.05)。结论对于髌骨骨折患者,采用闭合复位经皮双头加压空心钉内固定治疗效果优于切开复位克氏针张力带治疗,可显著减轻患者疼痛,改善患者膝关节功能。
Objective To investigate the effect of open reduction and Kirschner wire tension band and closed reduction percutaneous double-head compression cannulated internal fixation on patients with patellar fracture and its effect on pain.Methods 80 patients with patellar fractures who were admitted to our hospital from March 2018 to March 2019 were randomly divided into two groups according to the single-blind method:40 patients in the control group were treated with open reduction and Kirschner wire tension band,and 40 patients in the observation group were given closed reduction and percutaneous double-head compression cannulated internal fixation were used to compare the therapeutic effects of the two groups.Results The fracture healing time,loss angle,VAS score and Lysholm score of the observation group were(9.35±1.51)weeks,(10.55±5.36)°,(0.78±0.25)points,and(90.54±4.51)points,respectively,which were significantly better than the control group(t=12.239,6.324,10.799,9.001,P<0.05).Conclusion For patients with patellar fractures,closed reduction and percutaneous double-head compression cannula internal fixation is better than open reduction and Kirschner wire tension band treatment,which can significantly reduce the patient's pain and improve the knee joint function.
作者
韩增斌
HAN Zengbin(Orthopedics Department,Xintai People's Hospital,Xintai Shandong 271200,China)
出处
《中国卫生标准管理》
2020年第5期69-71,共3页
China Health Standard Management
关键词
髌骨骨折
切开复位
克氏针
张力带
闭合复位
经皮空心钉内固定
patellar fracture
open reduction
Kirschner wire
tension band
closed reduction
percutaneous cannulated screw fixation
