新鲜闭合性髌骨骨折应用切开复位空心螺钉联合张力带钢丝内固定治疗的价值研究  

Value of Open Reduction and Cannulated Compression Screws Combined with Wire Tension Band Internal Fixation in Fresh Closed Patella Fracture

作　　者：梁就积 陈爱民 甘艺荣 LIANG Jiuji;CHEN Aimin;GAN Yirong(Xingtan Hospital Affiliated to Shunde Hospital of Southern Medical University,Foshan 528325,China)

机构地区：[1]南方医科大学顺德医院附属杏坛医院

出　　处：《中国医学创新》2019年第27期55-58,共4页Medical Innovation of China

摘　　要：目的:探究切开复位空心螺钉联合张力带钢丝内固定治疗新鲜闭合性髌骨骨折患者的临床价值。方法:选取2015年12月-2018年12月在本院进行治疗的42例新鲜闭合性髌骨骨折患者,按照入院先后顺序分成试验组(n=21)和对照组(n=21),对照组选择克氏针张力带治疗,试验组选择切开复位空心螺钉联合张力带钢丝内固定治疗,分析并比较两组治疗后恢复情况。结果:试验组骨折复位评分、视觉模拟评分法(VAS)评分、膝关节功能优良率、并发症发生率以及术中出血量均优于对照组,差异均有统计学意义(P<0.05);两组骨折愈合时间和手术时间比较,差异均无统计学意义(P>0.05)。结论:切开复位空心螺钉联合张力带钢丝内固定治疗新鲜闭合性髌骨骨折患者,可改善其膝关节功能,加大膝关节活动范围,提高骨折复位质量,减轻患者疼痛感。Objective:To investigate the clinical value of open reduction and cannulated compression screws combined with wire tension band internal fixation for the treatment of patients with fresh closed patella fracture.Method:A total of 42 patients with fresh closed patella fractures treated in our hospital from December 2015 to December 2018 were selected and divided into experimental group(n=21)and control group(n=21)according to the order of admission.The control group was treated with the Kirschner wire tension band,the experimental group was treated with open reduction and cannulated compression screws combined with wire tension band internal fixation.The recovery of the two groups after treatment were analyzed and compared.Result:The fracture reduction score,visual analogue score(VAS)score,excellent and good rate of knee function,incidence of complications and intraoperative blood loss in the experimental group were all better than those in the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in fracture healing time and operation time between the two groups(P>0.05).Conclusion:The open reduction and cannulated compression screws combined with wire tension band internal fixation for the treatment of patients with fresh closed patella fracture can improve their knee joint function,increase the range of knee joint activity,improve the quality of fracture reduction,and reduce the pain of patients.

关 键 词：闭合性髌骨骨折 切开复位空心加压螺钉 钢丝张力带内固定 膝关节功能 膝关节活动范围 

分 类 号：R68[医药卫生—骨科学]