髌骨针钛缆张力带固定与克氏针钢丝治疗髌骨骨折的效果对比  

Comparison of effect of patella needle titanium cable tension band fixation and Kirschner wire in treatment of patella fracture

作　　者：杨杰[1] 刘晓东[1] 刘九龙 王晓光[1] 许光辉[1] 吴朝修 袁建民 YANG Jie;LIU Xiao-dong;LIU Jiu-long;WANG Xiao-guang;XU Guang-hui;WU Chao-xiu;YUAN Jian-min(Department of Orthopaedics,the Fifth People’s Hospital of Fuyang City,Fuyang,Anhui 236000,China)

机构地区：[1]阜阳市第五人民医院骨科,安徽阜阳236000

出　　处：《医药论坛杂志》2023年第4期56-59,64,共5页Journal of Medical Forum

摘　　要：目的 对比髌骨针钛缆张力带固定与克氏针钢丝治疗髌骨骨折的效果,旨在为临床治疗提供参考。方法 选取阜阳市第五人民医院骨科在2018年1月—2020年11月收治且符合纳入条件的髌骨骨折患者100例为对象,数字编码后采用随机数字表法分组,分为对照组、观察组各50例。对照组采用传统克氏针钢丝带固定治疗,观察组采用髌骨针钛缆张力带固定治疗。对比与观察两组患者手术指标,以患者膝关节屈曲角度变化、Bostman髌骨骨折临床疗效评分变化情况评估治疗效果,随访6个月观察患者并发症发生情况。结果 手术指标对比,观察组术中出血量少于对照组、骨折愈合时间与住院时间短于对照组,医疗费用高于对照组(P<0.05),手术与术后下床活动时间比较差异无统计学意义(P>0.05)。疗效指标对比,术后14 d、1个月、3个月和6个月观察组患者膝关节屈曲角度分别大于对照组,Bostman评分分别高于对照组(P<0.05)。并发症对比,观察组发生率(4.00%)稍低于对照组(14.00%),但比较差异无统计学意义(χ^(2)=3.053,P>0.05)。结论 采用髌骨针钛缆张力带对髌骨骨折进行复位固定治疗,效果显著且能够缩短康复进程,创少小、安全性好,但价格相对昂贵。Objective To compare the effect of titanium cable tension band fixation of patella needle and Kirschner wire in the treatment of patella fracture, in order to provide reference for clinical treatment. Methods A total of 100 patients with patella fracture admitted to the department of Orthopedics of our hospital from January 2018 to November 2020 and eligible for inclusion were selected as subjects. After digital coding, they were divided into control group and observation group by random number table method, with 50 patients in each group. The control group was treated with traditional Kirschner wire band fixation, and the observation group was treated with patella needle titanium cable tension band fixation. The surgical indicators of patients in the two groups were compared and observed. The treatment effect was evaluated by changes in knee flexion angle and clinical efficacy score of Bostman patella fracture. The complications of patients were observed during the 6-month follow-up. Results Compared with the surgical indicators, the observation group had less intraoperative blood loss, shorter fracture healing time and hospitalization time, and higher medical costs than the control group(P<0.05). There was no statistical significance in the comparison between the operation and postoperative ambulation time(P>0.05). The comparison of efficacy indicators showed that the knee flexion angle of patients in the observation group was higher than that in the control group at 14d, 1 month, 3 months and 6 months after operation, and the Bostman score was higher than that in the control group(P<0.05). The incidence of complications in the observation group(4.00%) was slightly lower than that in the control group(14.00%), but the difference was not statistically significant(χ^(2)=3.053, P>0.05). Conclusion Using patella needle titanium cable tension band for the treatment of patella fracture reduction and fixation, the effect is significant and can shorten the rehabilitation process, less invasive, good safety, but relati

关 键 词：髌骨骨折 髌骨针 钛缆张力带 克氏针 屈曲角度 Bostman评分 

分 类 号：R683.42[医药卫生—骨科学]