| 董晓敏.新型钛质带孔克氏针联合钛缆张力带治疗髌骨骨折的疗效研究[J].浙江中西医结合杂志,2023,33(2): |
| 新型钛质带孔克氏针联合钛缆张力带治疗髌骨骨折的疗效研究 |
| A study on the curative effect of a new type of titanium holed Kirschner wire combined with a titanium cable tension band in the treatment of patella fractures |
| 投稿时间：2022-01-13 修订日期：2022-04-20 |
| DOI： |
| 中文关键词: 髌骨 骨折 内固定 病例对照研究 |
| 英文关键词:Patella fracture internal fixation case-control study |
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| 中文摘要: |
| 目的：研究探讨新型钛质带孔克氏针联合钛缆张力带治疗髌骨骨折的临床疗效。方法: 回顾性分析2014年1月至2019年12月期间在我院收治行手术治疗的髌骨骨折病例,经筛选后共47例。新型钛质带孔克氏针组18例(A组),男12例,女6例,年龄41±6.3岁；普通克氏针组29例(B组),男17例,女12例,年龄44±7.9岁,比较两组的手术时间,术中出血量,骨折愈合时间,术后并发症的发生及膝关节活动度的差异。应用B?stman功能评分系统评定术后膝关节功能恢复况。结果：A组手术时间(72.8±6.2)min,术中出血量(31.5±7.6)ml,术后膝关节活动范围(115.6±12.4)°,B组手术时间(69.4±9.8)min,术中出血量(38.6±5.4)ml,术后膝关节活动范围(109.2±18.3)°,两组患者在手术时间、术中出血量和术后膝关节活动度上的差异无统计学意义(p＞0.05)。A组骨折术后平均愈合时间(12.6±2.2)周, B组骨折术后平均愈合时间(14.7±3.9)周,A组骨折愈合时间短于B组(p＜0.05)；A组术后无相关并发症发生,B组术后出现12例并发症(退针4例,皮肤激惹6例,内固定失效2例)。两组患者膝关节B?stman功能功能评分,A组总分26.3±2.6,B组总分23.5±3.8,A组总分高于B组(p＜0.05)。结论：新型钛质带孔克氏针联合钛缆张力带治疗髌骨骨折疗效确切,能明显减少术后并发症的发生,利于术后康复锻炼,缩短骨折愈合时间,有较好的临床疗效。 |
| 英文摘要: |
| 【 】 Objective The study explores the clinical effect of new titanium Kirschner wires with holes combined with titanium cable tension band in the treatment of patella fractures. Methods A retrospective analysis of patella fracture cases admitted to our hospital for surgical treatment from January 2014 to December 2019, a total of 47 cases were screened. There were 18 cases in the new titanium with hole Kirschner wire group (group A), 12 males and 6 females, aged 41±6.3 years old; 29 cases in the ordinary Kirschner wire group (group B), 17 males and 12 females, Aged 44±7.9 years old, the difference in operation time, intraoperative blood loss, fracture healing time, occurrence of postoperative complications and range of motion of the knee joint were compared between the two groups. Application of B?stman functional scoring system to assess postoperative knee joint function recovery. Results Operation time of group A (72.8±6.2) min, intraoperative blood loss (31.5±7.6) ml, postoperative range of motion of the knee joint (115.6±12.4)°, operation time of group B (69.4±9.8) min, intraoperative blood loss (38.6±5.4) ml, the range of movement of the knee joint after surgery is (109.2±18.3)°. There was no statistically significant difference between the two groups in the operation time, intraoperative blood loss and postoperative knee range of motion (p>0.05) . The average healing time of fracture in group A was (12.6±2.2) weeks after operation, and the average healing time of fracture in group B was (14.7±3.9) weeks after operation. The fracture healing time in group A was shorter than that in group B (p<0.05); Related complications occurred. There were 12 complications in group B (4 cases of needle withdrawal, 6 cases of skin irritation, 2 cases of internal fixation failure). The B?stman functional score of the knee joints of the two groups of patients, the total score of group A was 26.3±2.6, the total score of group B was 23.5±3.8, and the total score of group A was higher than that of group B (p<0.05). Conclusion The new type of titanium perforated Kirschner wire combined with titanium cable tension band has a definite effect in the treatment of patella fractures, which can significantly reduce the occurrence of postoperative complications, facilitate postoperative rehabilitation exercises, shorten the healing time of fractures, and have a good clinical effect. |
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