摘要
目的观察微创钢丝内固定治疗髌骨横行骨折的临床效果。方法回顾性分析西藏自治区人民医院自2017年1月至2018年1月收治的62例髌骨横行骨折患者的临床资料。根据术式不同,将患者分入A组(克氏针+张力带钢丝内固定组,n=26)和B组(微创钢丝内固定组,n=36)。对患者进行12个月的随访,比较两组患者的Lysholm评分、视觉模拟评分法(VAS)评分、骨折复位质量及并发症发生率。结果术后1个月,B组Lysholm评分高于A组,差异有统计学意义(P<0.05);术后6、12个月,A组、B组Lysholm评分差异无统计学意义(P>0.05)。术后1周、1个月,B组VAS评分均低于A组,差异有统计学意义(P<0.05);术后6、12个月,A组、B组VAS评分差异无统计学意义(P>0.05)。A组骨折复位优良率为73.1%(19/26),B组为77.8%(28/36),差异无统计学意义(P>0.05)。A组并发症发生率为30.8%(8/26),B组为8.3%(3/36),差异有统计学意义(P<0.05)。结论与传统的克氏针+张力带钢丝内固定比较,微创钢丝内固定治疗髌骨横行骨折可减轻疼痛,降低并发症发生风险,改善预后。
Objective To investigate the clinical effect of minimally invasive wire internal fixation in the treatment of patellar transverse fracture.Methods A retrospective study was performed on 62 cases of patients with transverse patella fracture who were admitted from January 2017 to January 2018.Patients were divided into Group A(Kirschner wire+tension band wire internal fixation group,n=26)and Group B(minimally invasive wire internal fixation group,n=36)according to different surgical procedures.Patients were followed up for 12 months,and Lysholm score,visual analogue scale(VAS)score,fracture reduction quality and complication rate were compared between the two groups.Results One month after surgery,Lysholm score in Group B was higher than that in Group A,and the difference was statistically significant(P<0.05).At 6 and 12 months after surgery,there was no significant difference in Lysholm score between Group A and Group B(P>0.05).VAS score of Group B was lower than that of Group A at 1 week and 1 month after surgery(P<0.05).At 6 and 12 months after surgery,there was no significant difference in VAS score between Group A and Group B(P>0.05).The excellent and good rate of fracture reduction was 73.1%(19/26)in Group A and 77.8%(28/36)in Group B,with no statistically significant difference(P>0.05).The incidence of complications was 30.8%(8/26)in Group A and 8.3%(3/36)in Group B(P<0.05).Conclusion Compared with the traditional Kirschner wire+tension band wire internal fixation,the treatment of patellar transverse fracture with minimally invasive wire internal fixation can reduce pain,reduce the risk of complications and improve the prognosis.
作者
洛绒赤乃
鹿伟
蒋莎莎
梁琳琳
谭树森
韩康
LUORONG Chi-nai;LU Wei;JIANG Sha-sha;LIANG Lin-lin;TAN Shu-sen;HAN Kang(Department of Orthopedic,Tibet Autonomous Region People′s Hospital,Lhasa 850000,China;Langfang Camp of Joint Logistic Support Force 983 Hospital,Langfang065000,China;Center for Disease Control and Prevention,Chengguan District,Lhasa City,Tibet Autonomous Region;Department of Spinal Cord Repair,The 960th Hospital of PLA,Jinan 250000,China)
出处
《临床军医杂志》
CAS
2020年第7期751-753,共3页
Clinical Journal of Medical Officers
基金
国家自然科学基金项目(81702935)。
关键词
髌骨横行骨折
克氏针
张力带钢丝内固定
微创钢丝内固定
Transverse fracture of patella
Kirschner wire
Internal fixation of tension belt wire
Minimally invasive wire internal fixation
作者简介
第一作者:洛绒赤乃(1982-),男,西藏人,主治医师;通信作者:韩康,E-mail:gan_7758525@163.com。
