带线锚钉缝合固定治疗髌骨软骨骨折的疗效  

Effect of Repairing Patellar Cartilage Fracture with Suture Anchor

作　　者：余敏 丑克 李雨佳[2] YU Min;CHOU Ke;LI Yujia(Sports Medicine Department,The Affiliated Changsha Central Hospital,University of South China,Changsha Hunan 410004;Dept.of Orthopaedics,The Second Xiangya Hospital of Central South University,Changsha Hunan 410011,China)

机构地区：[1]南华大学附属长沙中心医院运动医疗科,湖南长沙410004 [2]中南大学湘雅二医院骨科,湖南长沙410011

出　　处：《昆明医科大学学报》2022年第2期107-111,共5页Journal of Kunming Medical University

基　　金：湖南省卫生健康委科研基金资助项目(20201318)。

摘　　要：目的研究带线锚钉固定修复髌骨软骨骨折的临床效果。方法选取2016年7月至2018年6月髌骨软骨骨折病例50例,其中男18例,女32例,年龄17~28岁,均为外伤致急性髌骨外侧脱位伴髌骨软骨骨折,术前Lysholm评分为(63.8±7.2),VAS评分为(8±1.7)。均采取带线锚钉缝合固定方法修复髌骨软骨骨折。结果术后所有患者伤口愈合良好,无膝关节肿胀及积液,髌骨软骨愈合良好,锚钉无松动、脱出,软骨块无移位。除3例患者术后6周时股四头肌轻度萎缩,肌肉力量恢复欠佳,其他患者下肢肌肉力量均恢复良好。Lysholm评分(87.3±4.1),VAS评分(2±2.3),均较术前明显改善(P<0.05)。结论采取带线锚钉缝合固定髌骨软骨骨折,手术操作简单,能有效固定软骨骨折,避免刺激髌前滑囊,有其独特优势。Objective To study the effect of repairing patellar cartilage fracture with the suture anchor.Methods Between July 2016 and June 2018,50 patients with patellar cartilage fracture were chosen,18 male and 32 female,age 17 to 28.All of them were acute lateral dislocation of patella with fracture of patellar cartilage caused by trauma.Lysholm score is(63.8±7.2),VAS score is(8±1.7).All of the patellar cartilage fracture was repaired by suture anchor.Results All patients’wound healed well after operation,no swelling and effusion of knee joint,patellar cartilage healed well,no loosening of anchor,no displacement of cartilage fragments.Except for 3 patients with mild atrophy of quadriceps and poor recovery of muscle strength at 6 weeks after operation,the other patients’muscle strength recovered well.Lysholm score is(87.3±4.1),VAS score is(2±2.3),which were significantly improved compared with those before operation.Conclusion The operation technique which is fixation of patellar cartilage fracture with suture anchor is simple,can effectively fix cartilage fracture and avoid stimulating anterior patellar bursa,which has its unique advantages.

关 键 词：髌骨软骨 骨折 带线锚钉 

分 类 号：R684.7[医药卫生—骨科学]