可吸收线网兜样编织结合张力带钢丝在髌骨下极粉碎性骨折中的临床应用  

Clinical application of absorbable net-sliding intertexture with tension band wiring comminuted fracture of inferior patella pole

作　　者：顾德帅 朱刃 俞文俊 张黎文 GU De-shuai;ZHU Ren;YU Wen-jun;ZHA NG Li--wen(Department of Orthopaedics,Yiwu Chouzhou Hos-pital,Yiwu 322000,Zhejiang,China)

机构地区：[1]义乌稠州医院骨科,浙江义乌322000

出　　处：《中国骨伤》2018年第10期903-906,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨可吸收线网兜样编织结合张力带钢丝固定治疗髌骨下极粉碎性骨折的临床疗效。方法 :自2012年1月至2016年12月,采用可吸收线网兜样编织结合张力带钢丝治疗髌骨下极粉碎性骨折80例,其中男45例,女35例;年龄25～60(45.0±2.0)岁,所有骨折为新鲜闭合性骨折。术后6周采用疼痛视觉模拟评分(VAS)、膝关节屈伸活动范围评估手术预后,术后12个月采用膝关节HSS评分进行疗效评价。结果:患者手术时间(50.2±10.1) min,出血量(20.3±5.2) ml。术后40例患者获得随访,时间12～24(16.0±0.5)个月。术后6周VAS评分为1.8±0.4,膝关节屈伸活动范围为(120.6±1.5)°。所有骨折获得骨性愈合,时间(3.0±0.8)个月。术后12个月膝关节HSS评分95.6±0.6。结论:可吸收线网兜样编织结合张力带钢丝固定治疗髌骨下极粉碎性骨折具有操作简单、固定可靠、能够恢复髌骨解剖形态,可早期功能锻炼达到快速康复,愈后效果良好等优点,是治疗髌骨下极粉碎性骨折的理想方法之一。Objective：To explore therapeutic effect of absorbable net sliding intertexture with tension band wiring in treating comminuted fracture of distal patella pole. Methods：From January 2012 to December 2016,80 patients with comminuted fracture of distal patella pole were treated with absorbable net sliding intertexture with tension band wiring,including 45 males and 35 females aged from 25 to 60 years old with an average of（45.0±2.0） years old. All fractures were freshly closed.VAS scores and motion of knee joint were evaluated at 6 weeks after operation,HSS scores were used to assess clinical effects at 12 months after operation. Results：Operative time was（50.2±10.1） min,blood loss was（20.3±5.2） ml. All patients were followed up from 12 to 24 months with an average of（16.0±0.5） months. VAS score was 1.8±0.4,range motion of knee joint was（120.6±1.5）°at 6 weeks after operation. The fracture healing time was（3.0±0.8） months. Postoperative HSS score at 12 months was 95.6±0.6. Conclusion：Absorbable net sliding intertexture with tension band wiring in treating comminuted fracture of distal patella pole has advantages of simple operation,stable fixation,which could recover anatomical formation of patella,obtain rapid rehabilitation and favorable prognosis with early exercise. It is an ideal method for treating comminuted fracture of distal patella pole.

关 键 词：髌骨 骨折 粉碎性 骨折固定术 内 

分 类 号：R687.3[医药卫生—骨科学]