Krachow法垂直缝合固定对RockwoodⅢ型髌骨骨折的疗效研究  

Effect of Krachow vertical suture and fixation on Rockwood typeⅢpatellar fracture

作　　者：刘双来 赵为夏 万美荣 臧元升 刘丹 LIU Shuanglai;ZHAO Weixia;WAN Meirong;ZANG Yuansheng;LIU Dan(Department of Orthopedics,Jiangxi Jiayou Shuguang Orthopedics Hospital,Nanchang,Jiangxi 333000,China;Taohua Town Health Center of Xihu District,Nanchang,Jiangxi 333000,China)

机构地区：[1]江西嘉佑曙光骨科医院骨科,江西南昌333000 [2]南昌市西湖区桃花镇卫生院,江西南昌333000

出　　处：《检验医学与临床》2022年第23期3206-3208,3212,共4页Laboratory Medicine and Clinic

基　　金：江西省卫生健康委科技计划项目(SKJP220217705)。

摘　　要：目的分析Krachow法垂直缝合固定治疗RockwoodⅢ型髌骨骨折的临床疗效。方法以2020年1月至2021年1月在江西嘉佑曙光骨折医院住院的80例RockwoodⅢ型髌骨骨折患者为研究对象,根据固定方式分为观察组和对照组,每组40例。对照组给予克氏针张力带固定,观察组给予Krachow法垂直缝合固定,比较两组膝关节功能优良率、手术指标、视觉模拟自评量表(VAS)评分、膝关节功能Bostman评分、膝关节活动度、并发症总发生率。结果观察组膝关节功能优良率高于对照组,手术时间、骨折愈合时间均短于对照组,术中出血量低于对照组,差异均有统计学意义(P<0.05);观察组治疗后VAS评分、并发症总发生率均低于对照组,Boatman评分、膝关节活动度均高于对照组,差异均有统计学意义(P<0.05)。结论RockwoodⅢ型髌骨骨折采用Krachow法垂直缝合固定,可有效改善膝关节功能,扩大膝关节活动度,减轻疼痛感,缩短治疗时间,降低并发症发生率。Objective To analyze the clinical effect of Krachow vertical suture and fixation on the treatment of Rockwood type Ⅲ patellar fracture.Methods A total of 80 patients with Rockwood type Ⅲ patellar fracture hospitalized in Jiangxi Jiayou Shuguang Fracture Hospital from January 2020 to January 2021 were selected and divided into observation group and control group according to the fixation method,with 40 cases in each group.The control group was treated with Kirschner wire tension band fixation,while the observation group was treated with Krachow vertical suture and fixation.The excellent and good rate of knee function,surgical indicators,visual analogue scale(VAS)score,knee function Bostman score,knee range of motion and the total incidence of complications were compared between the two groups.Results The excellent and good rate of knee joint function in the observation group was higher than that in the control group,the operation time and fracture healing time were shorter than those in the control group,and the intraoperative blood loss was lower than that in the control group,and the differences were statistically significant(P<0.05).After treatment,the VAS score and total incidence of complications in the observation group were lower than those in the control group,Bostman score and knee range of motion were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Krachow vertical suture and fixation of Rockwood typeⅢpatellar fracture could effectively improve knee function,expand knee range of motion,reduce pain,shorten treatment time,and reduce the incidence of complications.

关 键 词：髌骨骨折 Krachow法垂直缝合固定 克氏针张力带固定 RockwoodⅢ型 

分 类 号：R687.3[医药卫生—骨科学]