分体式髌骨爪联合空心螺钉内固定治疗髌骨粉碎性骨折的疗效观察
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摘要
目的分析分体式髌骨爪联合空心螺钉内固定治疗髌骨粉碎性骨折的临床疗效。方法髌骨粉碎性骨折病人29例,均采用分体式髌骨爪联合空心螺钉内固定治疗,并分析骨折愈合、并发症、关节功能等指标。结果 29例病人均获得6～17个月的随访,平均10个月;按照改良Bostman髌骨骨折临床疗效标准评估疗效:优21例,良7例,差1例,优良率96. 9%;所有病人均骨折骨性愈合,均未出现内固定物松脱、断裂、异物排斥反应等并发症。结论分体式髌骨爪联合空心螺钉内固定治疗髌骨粉碎性骨折符合生物力学内固定原则,可将骨折解剖复位并恢复髌骨关节面的平整,手术操作简单、固定牢固、并发症少。
Objective To investigate the clinical effect of patella concentrator combined with hollow screw in the treatment of comminuted patellar fracture. Methods 29 cases with comminuted patellar fracture that treated with patella concentrator combined with hollow screw were retrospective analyzed.Fracture healing time,surgical complications and joint function recovery were observed. Results A total of 29 patients had regular follow-up from 6 to 17 months(10 months on average),the cases showed excellent,good and poor were 21,7 and 1,respectively. The rate of fineness was 96. 9% based on modified Bostman evaluation. The fractures were healed in all the cases without loosening,breakage and reject reaction of internal fixation. Conclusion Treatment for comminuted patellar fracture using patella concentrator combined with hollow screw should be in accordance with the biomechanical principle,and achieved with anatomical reduction and recovery of joint surface,which is a good and simple method for the treatment of comminuted patellar fracture with stable fixation and fewer complications.
Objective To investigate the clinical effect of patella concentrator combined with hollow screw in the treatment of comminuted patellar fracture. Methods 29 cases with comminuted patellar fracture that treated with patella concentrator combined with hollow screw were retrospective analyzed.Fracture healing time,surgical complications and joint function recovery were observed. Results A total of 29 patients had regular follow-up from 6 to 17 months(10 months on average),the cases showed excellent,good and poor were 21,7 and 1,respectively. The rate of fineness was 96. 9% based on modified Bostman evaluation. The fractures were healed in all the cases without loosening,breakage and reject reaction of internal fixation. Conclusion Treatment for comminuted patellar fracture using patella concentrator combined with hollow screw should be in accordance with the biomechanical principle,and achieved with anatomical reduction and recovery of joint surface,which is a good and simple method for the treatment of comminuted patellar fracture with stable fixation and fewer complications.
引文
[1]王亦璁.主编.骨与关节损伤[M].第4版.北京:人民卫生出版社,2007. 1385.
[2] Zhao QM,Yang HL,Wang L,et al. Treatment of comminuted patellarfracture with the nitinol patellar concentrator[J]. Minim Invasive TherAllied Technol,2016,25(3):171-175.
[3] Kakazu R,Archdeacon MT. Surgical Management of Patellar Fractures[J]. Orthop Clin North Am,2016,47(1):77-83.
[4]罗辑,赵劲民,罗任,等.分体式髌骨爪结合金属骨针张力带治疗髌骨粉碎性骨折的临床疗效分析[J].广西医科大学学报,2016,33(5):866-868.
[5]张世民,李海丰,黄轶刚,等.骨折分类与功能评定[M].北京:人民军医出版社,2008:332.
[6]危杰,刘璠,吴新宝,等.骨折治疗的AO原则[M].上海:上海科学技术出版社,2010:602-603.
[7]郭华臣.分体式髌骨爪内固定治疗髌骨骨折的疗效观察[J].临床医药文献电子杂志,2016,3(53):10513.
[8]潘晓亚.髌骨爪内固定治疗髌骨骨折50例疗效观察[J].河南外科学杂志,2015,21(4):119-120.
[9]贾春茂,张亮.分体式髌骨爪治疗髌骨骨折的临床研究[J].临床医药文献电子杂志,2017,4(6):1050-1051.
[10]郭二鹏,李宽新,李建筑,等.空心拉力钉和克氏针张力带治疗髌骨骨折疗效的Meta分析[J].吉林大学学报(医学版),2015,41(3):351-356.
[11]胡晓锋.空心螺钉加钢丝张力带治疗髌骨骨折的临床分析[J].中国社区医师,2016,32(15):52-54.
[12]权魏.髌骨粉碎性骨折使用髌骨爪及加空心钉治疗观察[J].中国实用医药,2014,9(6):48-49.
[2] Zhao QM,Yang HL,Wang L,et al. Treatment of comminuted patellarfracture with the nitinol patellar concentrator[J]. Minim Invasive TherAllied Technol,2016,25(3):171-175.
[3] Kakazu R,Archdeacon MT. Surgical Management of Patellar Fractures[J]. Orthop Clin North Am,2016,47(1):77-83.
[4]罗辑,赵劲民,罗任,等.分体式髌骨爪结合金属骨针张力带治疗髌骨粉碎性骨折的临床疗效分析[J].广西医科大学学报,2016,33(5):866-868.
[5]张世民,李海丰,黄轶刚,等.骨折分类与功能评定[M].北京:人民军医出版社,2008:332.
[6]危杰,刘璠,吴新宝,等.骨折治疗的AO原则[M].上海:上海科学技术出版社,2010:602-603.
[7]郭华臣.分体式髌骨爪内固定治疗髌骨骨折的疗效观察[J].临床医药文献电子杂志,2016,3(53):10513.
[8]潘晓亚.髌骨爪内固定治疗髌骨骨折50例疗效观察[J].河南外科学杂志,2015,21(4):119-120.
[9]贾春茂,张亮.分体式髌骨爪治疗髌骨骨折的临床研究[J].临床医药文献电子杂志,2017,4(6):1050-1051.
[10]郭二鹏,李宽新,李建筑,等.空心拉力钉和克氏针张力带治疗髌骨骨折疗效的Meta分析[J].吉林大学学报(医学版),2015,41(3):351-356.
[11]胡晓锋.空心螺钉加钢丝张力带治疗髌骨骨折的临床分析[J].中国社区医师,2016,32(15):52-54.
[12]权魏.髌骨粉碎性骨折使用髌骨爪及加空心钉治疗观察[J].中国实用医药,2014,9(6):48-49.