切开复位克氏针张力带与闭合复位经皮空心钉内固定在髌骨骨折治疗中的作用
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摘要
目的在髌骨骨折治疗中分别应用切开复位克氏针张力带与闭合复位经皮空心钉内固定,以此分析切开复位克氏针张力带与闭合复位经皮空心钉内固定的应用作用。方法选择髌骨骨折100例患者,诊治时间在2015年3月—2018年3月,分不同组别进行不同治疗:对照组予以切开复位克氏针张力带治疗,研究组实施闭合复位经皮空心钉内固定治疗。对组间的VAS评分、膝关节Lysholm评分、术中出血量、骨折愈合时间、损失角度进行对比分析。结果研究组的VAS评分(0.77±0.22)分、术中出血量(150.77±20.21)mL、骨折愈合时间(9.22±1.51)周、损失角度(10.52±5.71)°均少于对照组,且研究组的膝关节Lysholm评分(90.22±2.11)分高于对照组, VAS评分、膝关节Lysholm评分、术中出血量、骨折愈合时间、损失角度的差异有统计学意义(t=28.22、28.74、17.34、15.04、8.94,P<0.05)。结论闭合复位经皮空心钉内固定在髌骨骨折治疗中作用显著,能够提高患者的膝关节功能,降低患者疼痛程度和术中出血量,缩短骨折愈合时间、损失角度,实施可行性极高。
Objective In the treatment of humeral fractures, the application of open reduction and Kirschner wire tension band and closed reduction percutaneous cannulated screw fixation were used to analyze the application of open reduction and Kirschner wire tension band and closed reduction percutaneous cannulated screw fixation. Methods 100 patients with tibiofibular fractures were treated. The treatment time was from March 2015 to March 2018. Different treatments were performed in different groups. The control group was treated with open reduction and Kirschner wire tension band. The study group underwent closed reduction and percutaneous hollow. Internal fixation with nails. The VAS scores, knee Lysholm score, intraoperative blood loss, fracture healing time, and loss angle were compared.Results The VAS score(0.77±0.22)points, intraoperative blood loss(150.77±20.21)mL, fracture healing time(9.22±1.51)w,and loss angle(10.52±5.71)° were lower in the study group than in the control group. The Lysholm score of the knee group(90.22±2.11)points was higher than that of the control group. The T values of VAS score, knee Lysholm score,intraoperative blood loss, fracture healing time and loss angle, the difference was significant(t =28.22, 28.74, 17.34,15.04, 8.94, P<0.05). Conclusion Closed reduction and percutaneous cannulated internal fixation in the treatment of tibiofibular fractures can significantly improve the knee joint function, reduce the degree of pain and intraoperative blood loss, shorten the fracture healing time and loss angle, and the feasibility is extremely high.
Objective In the treatment of humeral fractures, the application of open reduction and Kirschner wire tension band and closed reduction percutaneous cannulated screw fixation were used to analyze the application of open reduction and Kirschner wire tension band and closed reduction percutaneous cannulated screw fixation. Methods 100 patients with tibiofibular fractures were treated. The treatment time was from March 2015 to March 2018. Different treatments were performed in different groups. The control group was treated with open reduction and Kirschner wire tension band. The study group underwent closed reduction and percutaneous hollow. Internal fixation with nails. The VAS scores, knee Lysholm score, intraoperative blood loss, fracture healing time, and loss angle were compared.Results The VAS score(0.77±0.22)points, intraoperative blood loss(150.77±20.21)mL, fracture healing time(9.22±1.51)w,and loss angle(10.52±5.71)° were lower in the study group than in the control group. The Lysholm score of the knee group(90.22±2.11)points was higher than that of the control group. The T values of VAS score, knee Lysholm score,intraoperative blood loss, fracture healing time and loss angle, the difference was significant(t =28.22, 28.74, 17.34,15.04, 8.94, P<0.05). Conclusion Closed reduction and percutaneous cannulated internal fixation in the treatment of tibiofibular fractures can significantly improve the knee joint function, reduce the degree of pain and intraoperative blood loss, shorten the fracture healing time and loss angle, and the feasibility is extremely high.
引文
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[2]李海凤.粉碎性髌骨骨折术后康复治疗的效果[J].江苏医药,2015,41(2):212-213.
[3]苏斌.髌骨张力带联合钢缆内固定与空心钉联合钢丝张力带内固定在髌骨骨折治疗中的对比研究[J].实用医技杂志,2018,25(5):526-528.
[4]王鹏飞.中药熏蒸在髌骨骨折康复治疗中的临床应用[J]西部中医药,2018,31(6):105-108.
[5]吴瑛辉.髌骨骨折临床综合护理治疗研究进展[J].实用临床护理学杂志:电子版,2018,3(25):95.
[6]田飞鹏,邵建苹,宋杨,等.内固定结合康复治疗对髌骨骨折术后膝关节功能及治疗优良率的影响[J].中外医疗2017,36(27):91-93.
[7]毛玲娣.髌骨骨折术后早期及延迟康复治疗介入的临床疗效对比[J].数理医药学杂志,2017,30(9):1313-1314.