髌骨爪联合可调式膝关节支具治疗髌骨骨折  

Patellar claw combined with adjustable knee joint brace on patellar fracture

作　　者：孙宇 李少辉[2] 杨文坤 盛长部[2] 欧阳晓[1] SUN Yu;LI Shao-hui;YANG Wen-kun;SHENG Chang-bu;OU-YANG Xiao(Dept of Orthopaedics,Xuzhou Cancer Hospital Affiliated to Xuzhou Medical University,Xuzhou,Jiangsu 221000,China;Dept of Orthopaedics,the 902nd Hospital of the Joint Logistic Support Force of CPLA,Bengbu,Anhui 233000,China)

机构地区：[1]徐州医科大学附属徐州市肿瘤医院骨科,江苏徐州221000 [2]中国人民解放军联勤保障部队第九〇二医院骨科,安徽蚌埠233000

出　　处：《临床骨科杂志》2023年第3期421-424,共4页Journal of Clinical Orthopaedics

摘　　要：目的探讨髌骨爪联合可调式膝关节支具治疗髌骨骨折的疗效。方法采用髌骨爪联合可调式膝关节支具治疗26例髌骨骨折患者。观察术后并发症发生情况、骨折愈合情况及膝关节功能恢复情况。结果患者均获得随访,时间10~14(12.6±0.4)个月。术后无骨折再移位、内固定松动及断裂、膝关节活动障碍等并发症发生。骨折均愈合,时间6~12(7.4±0.5)周。末次随访时,膝关节屈曲活动度130°~135°;按照Bostman膝关节评分评价疗效:优18例,良7例,差1例,优良率25/26。结论采用髌骨爪联合可调式膝关节支具治疗髌骨骨折,固定牢靠,并发症少,患者可早期行膝关节功能锻炼,临床效果满意。Objective To explore the clinical efficacy of patellar claw combined with adjustable knee joint brace in the treatment of patellar fracture.Methods The 26 cases of patellar fractures were treated with patellar claw combined with adjustable knee joint brace.The postoperative complications,fracture healing and functional recovery of the knee were observed.Results All patients were followed up for 10~14(12.6±0.4)months.There were no complications such as re-displacement of fracture,loosening and breaking of internal fixation,disturbance of knee joint movement.All fractures healed within 6~12(7.4±0.5)weeks.At the last follow-up,the flexion range of motion of knee joint was 130°~135°,according to Bostman knee score,the curative effect was evaluated:excellent in 18 cases,good in 7,poor in 1,the excellent and good rate was 25/26.Conclusions The treatment of patellar fracture by patellar claw combined with adjustable knee joint brace have the advantages of firm fixation,few complications,early functional exercise of knee joint and satisfactory clinical effect.

关 键 词：髌骨爪 髌骨骨折 可调式膝关节支具 

分 类 号：R683.42[医药卫生—骨科学] R687.3[医药卫生—外科学] R687.4[医药卫生—临床医学]