预断式带孔克氏针张力带治疗老年髌骨骨折的疗效  

The efficacy of pre-disconnected perforated Kirschner wire tension band in the treatment of patellar fractures in the elderly

作　　者：蒋柒 唐承杰[1] 贾军锋 潘汝南 李峰 刘晶晶 JIANG Qi;TANG Cheng-jie;JIA Jun-feng;PAN Ru-nan;LI Feng;LIU Jing-jing(SectionⅡ,Dept of Geriatric Orthopaedics,Sichuan Province Orthopaedics Hospital,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省骨科医院老年骨科二病区,四川成都610041

出　　处：《临床骨科杂志》2024年第6期869-872,共4页Journal of Clinical Orthopaedics

基　　金：四川省医学会科研基金(编号:S22087)。

摘　　要：目的探讨预断式带孔克氏针张力带治疗老年髌骨骨折的疗效。方法将70例老年髌骨骨折患者按照随机数字表法分为观察组(采用预断式带孔克氏针张力带治疗,35例)和对照组(采用传统AO克氏针张力带治疗,35例)。比较两组术中出血量、手术时间、首次下床活动时间、住院时间、骨折愈合时间、术后并发症发生情况、膝关节活动度。采用B9stman标准评价膝关节功能。结果患者均获得随访,时间7~14个月。术中出血量、手术时间、住院时间观察组均少(短)于对照组(P<0.05);首次下床活动时间、骨折愈合时间两组比较差异均无统计学意义(P>0.05)。术后并发症发生率观察组低于对照组(P<0.05)。术后6个月采用B9stman标准评价的膝关节功能优良率观察组高于对照组(P<0.05)。末次随访时膝关节屈曲活动度观察组大于对照组(P<0.05)。结论预断式带孔克氏针张力带治疗老年髌骨骨折,具有术中出血量少、手术时间短、住院时间短、术后并发症少、患者膝关节功能恢复好的优点。Objective To investigate the efficacy of pre-disconnected perforated Kirschner wire tension band in the treatment of patellar fracture in the elderly.Methods Seventy elderly patients with patellar fractures were divided into observation group(35 cases were treated with pre-disconnected perforated Kirschner wires tension band)and control group(35 cases were treated with traditional AO Kirschner wires tension band),according to random number table method.The volume of intraoperative blood loss,operation time,the time to get out of bed for the first time,hospitalization time,fracture healing time,postoperative complications,and knee joint activity were compared between the two groups.Knee joint function was evaluated according to B stman scoring standard.Results All patients were followed up for 7~14 months.The volume of intraoperative blood loss,operation time and hospitalization time in the observation group were less(shorter)than those in the control group(P<0.05).The time to get out of bed for the first time and the fracture healing time had no statistical significance between the two groups(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).At 6 months after operation,the excellent and good rate of knee function evaluated by B stman standard in the observation group was higher than that in the control group(P<0.05).At the last follow-up,knee flexion rang of motion in the observation group was greater than that in the control group(P<0.05).Conclusions In the treatment of elderly patellar fracture,the pre-disconnected perforated Kirschner wire tension band has the advantages of less intraoperative blood loss,short operation time,short hospitalization time,fewer postoperative complications and good knee function recovery.

关 键 词：髌骨骨折 克氏针 张力带 内固定 老年人 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]