改良带线锚钉固定术对髌骨下极骨折患者的影响分析  

Analysis of the Influence of Modified Wire Anchor Fixation on Patients with Patellar Inferior Pole Fracture

作　　者：杜春河 肖兴奎 信师昆 DU Chunhe;XIAO Xingkui;XIN Shikun(Department of Osteology,Shanghe People’s Hospital,Jinan 250000,China)

机构地区：[1]山东省商河县人民医院骨一科,山东济南250000

出　　处：《中国伤残医学》2024年第24期35-39,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨改良带线锚钉固定术对髌骨下极骨折患者的影响。方法:回顾性分析商河县人民医院2022年3月—2024年3月收治的102例髌骨下极骨折患者资料,根据手术方式不同分为对照组及研究组,每组51例。对照组行克氏针张力带术,研究组行改良带线锚钉固定术。对比两组患者的术后恢复情况、疼痛情况、膝关节活动度、膝关节功能、髌股关节功能及并发症发生情况。结果:研究组的切口长度、手术时间、下床活动时间、骨折愈合时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。术后,研究组的疼痛视觉模拟评分法评分为(2.44±0.82)分,低于对照组的(3.26±1.03)分,膝关节活动度为(128.45±8.72)°,大于对照组的(92.48±3.66)°,差异均有统计学意义(P<0.05)。术后,研究组的美国特种外科医院膝关节评分中疼痛、肌力、无畸形、功能活动、关节活动度、无不稳定评分分别为(24.45±4.12)分、(7.03±2.12)分、(7.96±1.68)分、(16.32±2.53)分、(15.16±2.01)分、(8.04±1.25)分,均高于对照组的(19.72±3.54)分、(5.11±1.52)分、(5.43±1.11)分、(13.11±1.78)分、(11.42±1.56)分、(6.51±1.13)分,差异均有统计学意义(P<0.05)。术后,研究组的Bostman髌骨骨折功能评分为(24.15±3.44)分,高于对照组的(20.05±2.13)分,差异有统计学意义(P<0.05)。研究组的并发症发生率为3.92%,低于对照组的15.69%,差异有统计学意义(P<0.05)。结论:髌骨下极骨折患者采用改良带线锚钉固定术治疗的效果显著,可促进膝关节活动度改善,提升膝关节功能及髌股关节功能,减少并发症发生,加快术后恢复。Objective:To investigate the effect of modified wire anchor fixation on patients with patellar inferior pole fracture.Methods:Data of 102 patients with patellar inferior pole fracture admitted to Shanghe People’s Hospital from March 2022 to March 2024 were retrospectively analyzed.They were divided into a control group and a study group according to different surgical methods,with 51 cases in each group.The control group underwent Kirschner needle tension band,and the study group underwent modified wire anchor fixation.The postoperative recovery,pain,knee range of motion,knee function,patellofemoral joint function and complications were compared between the two groups.Results:The incision length,operation time,getting out of bed time and fracture healing time of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).After surgery,the pain visual analogue scale score of the study group was(2.44±0.82)points,lower than(3.26±1.03)points of the control group,and the knee motion was(128.45±8.72)°,higher than(92.48±3.66)°of the control group,the differences were statistically significant(P<0.05).After surgery,the scores of pain,muscle strength,no deformity,functional activity,joint motion,and stability of the Hospital for Special Surgery knee score in the study group were(24.45±4.12)points,(7.03±2.12)points,(7.96±1.68)points,(16.32±2.53)points,(15.16±2.01)points,and(8.04±1.25)points,respectively,which were higher than(19.72±3.54)points,(5.11±1.52)points,(5.43±1.11)points,(13.11±1.78)points,(11.42±1.56)points and(6.51±1.13)points in the control group,and the differences were statistically significant(P<0.05).After surgery,the Bostman patellar fracture function score of the study group was(24.15±3.44)points,which was higher than(20.05±2.13)points of the control group,and the difference was statistically significant(P<0.05).The complication rate of the study group was

关 键 词：髌骨下极骨折 改良带线锚钉固定术 膝关节活动度 术后恢复 

分 类 号：R687.3[医药卫生—骨科学]