新型张力带系统治疗髌骨横形骨折  

New Tension Band System for Treatment of Transverse Patella Fracture

作　　者：亚力坤·亚森[1] 米尔亚库甫·麦麦提斯迪克 徐超[1] 王舜 杨军 遆唯烨 Yalikun·Yasen;Mi′eryakufu·Maimaitisidike;Xu Chao(Department of Orthopaedics,Second Affiliated Hospital,Xinjiang Medical University,Xinjiang 830063,China)

机构地区：[1]新疆医科大学第二附属医院骨科,乌鲁木齐830063

出　　处：《医学研究杂志》2020年第9期128-131,共4页Journal of Medical Research

基　　金：新疆维吾尔自治区少数民族科技人才特殊培养计划项目(2018D03016)。

摘　　要：目的探讨新型张力带系统技术和改良钢丝张力带技术在髌骨横形骨折的治疗效果。方法选择笔者医院收治的100例AO/OTA 34-C1和34-C2髌骨骨折患者,按照手术方式分为新型张力带系统50例(新型组)和改良钢丝张力带50例(对照组)。随访1年,评估标准为骨折愈合时间、膝关节功能AKS评分、骨折复位及出现并发症情况。结果术后恢复情况分析显示,对照组18例患者术后骨折间隙大于1mm,而新型组只有2例,两者比较差异有统计学意义(P<0.05);新型组AKS评分更好(P<0.05),而且新型组术后并发症和骨折愈合时间显著少于对照组(P<0.05)。多因素分析所有患者骨折恢复情况影响因素,纳入性别、年龄、AO/OTA分型、骨折间隙、改良钢丝张力带和新型张力带系统等因素。回归模型比较差异有统计学意义,[F(6,100)=38.145,P<0.01],调整r 2=0.683。纳入模型的6个自变量中只有新型张力带系统治疗方式对改善患者术后恢复程度影响差异有统计学意义(P<0.01)。结论新型张力带系统技术疗效显著,应作为治疗髌骨横行骨折的替代方法。Objective To investigate the therapeutic effect of new tension band system and improved wire tension band on transverse patella fracture.Methods A total of 100 cases of AO/OTA type 34-C1 and 34-C2 patients with patellar fractures in our hospital were selected and divided into 50 cases of new tension band system(new type group)and 50 cases of improved wire tension band(control group).Follow-up was conducted for 1 year,and AKS scores of fracture reduction,fracture healing time,knee joint function and complications were the evaluation criteria.Results Analysis of postoperative recovery showed that the postoperative fracture gap of 18 patients in the control group was more than 1mm,while that of the new group was only 2 patients,the difference was statistically significant(P<0.05).The new group had better AKS scores than the control group(P<0.05).In addition,the postoperative complications and fracture healing time of the new type group were significantly less than that of the control group(P<0.05).The factors affecting fracture recovery of all patients were analyzed by multiple factors,including gender,age,AO/OTA typing,fracture gap,improved wire tension belt and new tension belt system.The regression model had statistical significance[F(6,100)=38.145,P<0.01],and adjusted r 2=0.683.Among the 6 independent variables included in the model,only the new tension-band system treatment had a significant difference in the effect of improving the postoperative recovery degree of patients(P<0.01).Conclusion New tension band system technique is effective and should be used as an alternative for the treatment of transverse patella fracture.

关 键 词：髌骨骨折 空心螺钉 钛缆 张力带 

分 类 号：R575.3[医药卫生—消化系统]