带线锚钉结合缝线桥技术与空心钉治疗肱骨大结节的撕脱性骨折的疗效比较  

Comparison of curative effects of wire anchor combined with suture bridge technology and hollow nail in treatment of avulsion fractures of the greater tibial tuberosity

作　　者：秦练 张远金[1] 张国富[1] 李松柏[1] 孙法瑞[1] 高琨[1] QIN Lian;ZHANG Yuanjin;ZHANG Guofu(Department of Bone Surgery,Huangshi City Central Hospital,East Hubei Medical Group,Hubei Province,Huangshi 435000,China)

机构地区：[1]鄂东医疗集团黄石市中心医院骨外科/肾脏疾病发生与干预湖北重点实验室,湖北省黄石市435000

出　　处：《临床合理用药杂志》2018年第34期28-29,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的比较带线锚钉结合缝线桥技术与空心钉治疗肱骨大结节撕脱性骨折的临床疗效。方法选取2013年6月-2017年5月医院收治的肱骨大结节撕脱性骨折患者30例,随机分为试验组与对照组各15例。试验组采用带线锚钉结合缝线桥技术治疗,对照组采用空心钉治疗。比较2组患者的肩关节功能评分、手术时间、住院时间、骨折愈合时间及术后并发症。结果试验组UCLA评分及ASES评分均高于对照组,差异均有统计学意义(P <0. 05)。2组患者手术时间和住院时间比较差异无统计学意义(P> 0. 05)。试验组患者骨折愈合时间短于对照组,差异有统计学意义(P <0. 05)。试验组并发症发生率为6. 67%低于对照组的26. 67%,差异有统计学意义(P <0. 05)。结论带线锚钉结合缝线桥技术治疗肱骨大结节撕脱性骨折疗效较好,可临床推广。Objective To compare the clinical effect of wire anchor combined with suture bridge technology and hollow nail in treatment of avulsion fractures of the greater tibial tuberosity. Methods 30 patients with avulsion fractures of the great tibial tuberosity admitted to the hospital from June 2013 to May 2017 were randomly divided into experimental group and control group,each of 15 cases. Experimental group was treated with wire anchor and suture bridge technique,and control group was treated with cannulated screws. The shoulder function scores,operation time,hospital stay,fracture healing time and postoperative complications were compared between two groups. Results The UCLA score and ASES score of experimental group were higher than control group,and the difference was statistically significant(P <0. 05). There was no significant difference in the operation time and hospitalization time between two groups(P >0. 05). The fracture healing time of experimental group was shorter than that of control group,and the difference was statistically significant(P < 0. 05). The complication rate of experimental group was 6. 67% lower than 26. 67% of control group,and the difference was statistically significant(P <0. 05). Conclusion The technique of wire anchor combined with suture bridge technique for treating avulsion fracture of humeral large nodules is better and can be clinically promoted.

关 键 词：带线锚钉 空心钉 肱骨大结节撕脱性骨折 

分 类 号：R687.3[医药卫生—骨科学]