矩形钢丝环扎联合8字钢丝张力带与传统克氏针钢丝张力带对治疗髌骨横形骨折的早中期疗效比较  

Comparison of early and the mid-term efficacy of rectangular wire loop tie with 8 steel cable and traditional Kirschner wire combined with cable fixation in the treatment of patellar fracture

作　　者：向锋 张锡平 陈侠甫 戴涛 李艳军 文捷[2] Feng Xiang;Xiping Zhang;Xiafu Chen;Tao Dai;Yanjun Li;Jie Wen(Department of Traumatic Orthopedics,Zhuzhou Central Hospital,Zhuzhou 412007,China;Department of Orthopedics,Hunan Provincial People′s Hospital,Changsha 410004,China)

机构地区：[1]株洲市中心医院创伤骨科,412007 [2]湖南省人民医院骨科,长沙410004

出　　处：《中华损伤与修复杂志（电子版）》2024年第3期251-254,共4页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的对比研究矩形钢丝环扎联合8字钢丝张力带与传统克氏针钢丝张力带两种不同内固定方式治疗髌骨骨折的早中期疗效。方法回顾性分析株洲市中心医院创伤骨科2020年1月至2022年6月收治的28例髌骨骨折患者资料,15例行矩形钢丝环扎联合8字钢丝张力带固定(为观察组),13例行传统克氏针钢丝张力带固定(为对照组)。记录两组手术时间、术中出血量、骨折愈合时间、术后内固定刺激率及术后18个月随访时膝关节疗效评定(采用Lysholm标准)。结果观察组与对照组在年龄、性别、术中出血量、骨折愈合时间、术后18个月随访时膝关节疗效评定差异无统计学意义(P>0.05),但观察组的手术时间更短,内固定刺激率更低,与对照组之间差异有统计学意义(P<0.05)。结论髌骨骨折采取矩形钢丝环扎加8字钢丝张力带可取得与传统克氏针钢丝张力带相同的预后效果,但其手术时间更短,可以更好避免内固定刺激发生,值得在临床工作中推广应用。Objective To compare the early and mid-term efficacy of rectangular wire loop tie combined with 8 steel cable and traditional Kirschner wire combine with steel cable fixation in the treatment of patellar fracture.Methods A retrospective study was conducted on 28 patients with patellar fracture in Department of Traumatic Orthopedics,Zhuzhou Central Hospital from January 2020 to June 2022,15 patients were fixed with rectangular wire loop tie combined with 8 steel cable and 13 patients were fixed with traditional Kirschner wire combine with steel cable.Operation time,intraoperative blood loss,fracture healing time,postoperative internal fixation irritation rate,and knee joint efficacy evaluation at 18 months postoperative follow-up were recorded in the two groups(lysholm evaluation criteria).Results There were no significant differences between the rectangular wire loop tie group and the Kirschner wire group in the amount of intraoperative blood loss,the time of fracture healing,and the evaluation of knee joint curative effect at the follow-up of 18 months after surgery(P>0.05),but the rectangular tie group had shorter operation time and lower internal fixation irritation rate(P<0.05).Conclusions Fixation of patellar fracture with rectangular wire loop tie combined with 8 steel cable can achieve the same prognostic effect as traditional Kirschner wire combined with steel cable fixation,but its operation time is shorter and can better avoid internal fixation irritation,which is worthy of clinical application.

关 键 词：髌骨骨折 矩形钢丝 克氏针钢丝张力带 内固定刺激率 

分 类 号：R687.3[医药卫生—骨科学]