重庆医学Issue(24)：3345-3347,3.DOI:10.3969/j.issn.1671-8348.2015.24.011
关节镜辅助下无头加压螺钉固定治疗髌骨横型骨折∗
Treatment of transverse fracture of patella with headless compression screw under arthroscope
摘要
Abstract
Objective To observe the clinical effect of headless compression Screw (HCS)under arthroscope in the treat-ment of patella fracture.Methods Nineteen patients of patella transverse fractures were selected,all of them were treated with HCS fixation under arthroscope,reviewed and followed-up after surgery.Results X-ray examination after surgery of 3 -5 weeks found that the fracture lines blurred or disappeared,and the patella articular surface was smooth without displacement.The healing time of fracture was 8 weeks on average after operation;There was no statistical difference in the range of the knee joint in the af-fected side in (135.42±5.82)°and the contralateral side in (139.38±6.55)°(P >0.05);The knee Lysholm score of the last follow-up was 86-100 points[(93.7±4.14)points],which was significantly higher than the preoperative score of 65.7 (P <0.05);There was no fracture displacement in the period of followed-up,drop of internal fixator,fracture and other complications.Conclusion HCS fixation under arthroscope in treatment of patella fracture is effective.The joint function recovered quickly with less complica-tion.It could be one of the effective methods for the treatment of patella transverse fracture.关键词
关节镜/骨折/髌骨/无头加压螺钉Key words
arthroscope/racture/patella/headless compression screw分类
医药卫生引用本文复制引用
杜元良,肖天洁,徐丛,吕永明,贾立军,徐昆,徐飞,张立超..关节镜辅助下无头加压螺钉固定治疗髌骨横型骨折∗[J].重庆医学,2015,(24):3345-3347,3.基金项目
承德市科学技术研究与发展计划计划项目(20123121)。 （20123121）
