髌骨钢板与克氏针张力带内固定治疗髌骨骨折的疗效分析

doi:10.3969/j.issn.1005-6483.2021.09.019

摘要/Abstract

摘要： 目的探讨髌骨钢板与克氏针张力带内固定治疗髌骨骨折的临床疗效。
方法 2015年1月～2020年10月期间收治的髌骨骨折病人60例。按就诊顺序间次分为钢板组与张力带组，每组各30例。钢板组采用髌骨钢板，张力带组采用克氏针钛缆张力带。比较两组病人手术时间、出血量、并发症发病率和术后膝关节的功能等。
结果钢板组和张力带组手术时间分别为(63.53±7.07)分钟和(76.53±4.16)分钟，切口长度分别为(6.28±0.57)cm和(7.73±0.77)cm，术后6个月膝关节活动度分别为(124.07±4.35)°和(118.40±4.55)°，手术出血量分别为(118.42±10.39)ml和(133.77±12.43)ml,两组比较差异有统计学意义(P＜0.05)。
结论钢板组与张力带组相比较，手术时间缩短，切口长度短于张力带组；钢板组术后膝关节活动度满意度强于张力带组。髌骨钢板内固定治疗髌骨骨折具有良好的生物力学稳定性,临床疗效优于张力带内固定治疗。

关键词: 髌骨钢板, 张力带, 髌骨骨折, 分析

Abstract: Objective To investigate the clinical effect of patella steel plate and gram needle tension band fixation on patella fracture.
Methods The study subjects were 67 patients with eligible patella fractures admitted in the hospital from January 2015 to October 2020.After excluding the late follow-up of the lost patients,30 cases each of the steel plate group and the tension band group were selected to facilitate the statistical comparison.Among them,the steel plate group is a patella steel plate,the tension band group is a modified gram needle titanium cable tension band.The operation time,bleeding volume,incidence of complications and the function of the knee joint were analyzed and evaluated.
Results Operation time,steel plate group(63.53±7.07) min,tension band group(76.53±4.16)min.Cut-out length,steel plate group(6.28±0.57)cm,tension band group(7.73±0.77)cm.The knee activity was measured 6 months after surgery,steel plate group(124.07±4.35),tension band group(118.40 ± 4.55).Surgical bleeding volume,steel plate group(118.42±10.39)ml,tension band group(133.77±12.43)ml.The relative statistical comparison differences between the two groups have statistical significance(P<0.05).
Conclusion Compared with the steel plate group and the tension band group,t he operation time was shortened,and the incision length was also overall shorter than the tension band group;and the satisfaction of postoperative knee activity in the steel plate group was also stronger than that of the tension band group.The treatment of patella fracture has good biomechanical stability and is significantly better than that of tension-band fixation.Worth the promotion in the clinical work.

Key words: patella steel plate, tension band, fracture of patella, analyse

周伟石渊盛奇智夏静刘平杨鸿. 髌骨钢板与克氏针张力带内固定治疗髌骨骨折的疗效分析[J]. 临床外科杂志, 2021, 29(9): 864-868.

ZHOU Wei, SHI Yuan, SHENG Qizhi, et al.. Effect analysis of patella steel plate and Kirschner wire tension band fixation in treating patella fracture[J]. JOURNAL OF CLINICAL SURGERY, 2021, 29(9): 864-868.

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