摘要
目的研究Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折的疗效。方法选取2019年1月至2022年3月收治的102例老年髌骨下极粉碎性骨折患者作为研究对象。按随机数字表法分为两组,观察组51例,采用Krachow法缝合联合钢丝垂直间断固定,对照组51例,采用钢丝垂直间断固定。统计分析两组临床疗效、膝关节活动范围(ROM)、膝关节功能Bostman评分及并发症情况。结果观察组临床疗效优良率为88.24%,对照组优良率为64.71%,差异有统计意义(P<0.05)。观察组膝关节ROM、Bostman评分分别为131.51°±6.80°、(28.65±2.20)分,对照组膝关节ROM、Bostman评分分别为115.87°±5.91°、(23.58±2.51)分,差异有统计意义(P<0.05)。观察组并发症总发生率为9.80%,对照组并发症总发生率为27.45%,差异有统计意义(P<0.05)。结论Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折复位良好,固定牢靠,对周围软组织影响小,并发症少,有利于膝关节功能恢复。
Objective The objective was to investigate the effects of Krachow sutures combined with discontinuous vertical wire suture fixation on knee range of motion(ROM)and the Bostman score in elderly patients with a comminuted fracture of the inferior pole of the patella.Methods A total of 102 elderly patients with a comminuted fracture of the inferior pole of the patella treated in our hospital from January 2019 to March 2022 were selected as the study subjects.They were divided into two groups according to the random number table method.The observation group(51 cases)was treated using Krachow sutures combined with discontinuous vertical steel wire sutures,and the control group(51 cases)was treated using discontinuous vertical steel wire sutures.The clinical efficacy,knee ROM,knee function Bostman score,and complications of the two groups were statistically analyzed.Results The observation group showed an excellent rate of 88.24%,and the control group had an excellent rate of 64.71%.The difference was statistically significant(χ2=7.173,P=0.009).The knee ROM and Bostman score of the observation group were 131.51°±6.80°and 28.65±2.20 points,respectively,while the knee ROM and Bostman score of the control group were 115.87°±5.91°and 23.58±2.51 points,respectively.The differences were statistically significant(t=9.043;10.346,P<0.001).The total incidence of complications was 9.80%in the observation group and 27.45%in the control group;the difference was statistically significant(χ2=5.332,P=0.042).Conclusions Krachow sutures combined with discontinuous vertical steel wire sutures for treating elderly patients with a comminuted fracture of the inferior pole of the patella had good reduction,stable fixation,little influence on the surrounding soft tissue,few complications,and were conducive to the recovery of knee joint function.
作者
李莹
李晶
刘日
Li Ying;Li Jing;Liu Ri(Department of Orthopaedics,Tangshan Second Hospital,Tangshan 063000,China)
出处
《国际骨科学杂志》
2024年第2期141-145,共5页
International Journal of Orthopaedics
