不同固定方式用于股骨髁间粉碎性骨折的效果比较  

Comparison of the effects of different fixation methods in the treatment of intercondylar comminuted fracture of the femur

作　　者：袁浩 Yuan Hao(Department of Orthopaedics,Jiaxing Hospital of Zhejiang Armed Police Corps,Jiaxing,Zhejiang 314000,China)

机构地区：[1]武警浙江省总队嘉兴医院骨四科,浙江省嘉兴314000

出　　处：《中国基层医药》2018年第21期2743-2746,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省嘉兴市科技局科技计划项目（2013AY21067）

摘　　要：目的比较不同固定方式用于股骨髁间粉碎性骨折的应用效果。方法选择武警浙江省总队嘉兴医院2015年5月至2017年5月收治的股骨髁间粉碎性骨折患者88例为研究对象，根据固定方式不同分为两组，对照组（n＝46）采用动力髁间螺丝内固定治疗，观察组（n＝42）采用桥接组合式固定系统治疗。比较两组围术期相关指标、术后功能恢复情况、并发症发生率。结果观察组手术时间为（104.36±20.72）min，术中出血量为（180.62±12.65）mL，术后引流量为（93.47±9.16）mL，骨折愈合时间为（9.42±0.51）周，术后负重时间为（4.62±1.81）周，对照组分别为（120.36±17.18）min、（269.74±20.24）mL、（62.31±7.34）mL、（10.32±0.67）周、（10.33±1.75）周，两组差异均有统计学意义（t＝3.96、24.49、17.50、7.04、15.04，均P〈0.05）；观察组术后关节功能恢复优良率为95.24%，高于对照组的76.09%（χ^2＝6.40，P〈0.05）；观察组并发症发生率（4.76%）低于对照组（21.74%）（χ^2＝5.37，P〈0.05）。结论使用桥接组合式固定系统治疗股骨髁间粉碎性骨折的应用效果比动力髁间螺丝内固定更加优越，临床应用价值高。Objective To compare the effects of different fixation Methods in the treatment of femoral intercondylar comminuted fracture.Methods From May 2015 to May 2017, 88 cases with femoral intercondylar comminuted fracture in Jiaxing Hospital of Zhejiang Armed Police Corps were selected in the research.According to the different fixation Methods , the patients were divided into two groups.The control group（n=46） received dynamic condylar screw internal fixation treatment, the observation group（n=42） received the combination of fixed bridge treatment system.The related indicators of perioperative period, recovery of function after surgery, incidence of complications were compared between the two groups.Results The operation time, amount of bleeding, postoperative drainage, fracture healing time, postoperative weight-bearing time of the observation group were （104.36±20.72）min, （180.62±12.65）mL, （93.47±9.16）mL, （9.42±0.51）weeks, （4.62±1.81）weeks, respectively, which of the control group were （120.36±17.18）min, （269.74±20.24）mL, （62.31±7.34）mL, （10.32±0.67） weeks, （10.33±1.75）weeks, respectively, there were statistically significant differences between the two groups（t=3.96, 24.49, 17.50, 7.04, 15.04, all P〈0.05）. The joint function recovery rate of the observation group was 95.24%, which was higher than 76.09% of the control group（χ^2=6.40, P〈0.05）. The incidence rate of complications in the observation group（4.76%） was lower than that in the control group（21.74%）（χ^2=5.37, P〈0.05）.Conclusion The effect of bridged composite fixation system in the treatment of femoral intercondylar comminuted fracture is more effective than dynamic intercondylar screw fixation, and the clinical application value is higher than dynamic intercondylar screw fixation.

关 键 词：股骨骨折 骨折固定术 临床对照试验 

分 类 号：R687.3[医药卫生—骨科学]