海南医学院学报2017，Vol.23Issue(5)：635-637,641,4.DOI:10.13210/j.cnki.jhmu.20161221.008
关节镜下无头加压螺钉固定和常规切开固定治疗髌骨横型骨折的关节功能及创伤程度比较
Comparison of joint function and trauma severity after arthroscopic headless compression screw fixation and conventional open reduction and internal fixation treatment of patellar transverse fracture
摘要
Abstract
Objective: To study the differences in joint function and trauma severity after arthroscopic headless compression screw fixation and conventional open reduction and internal fixation treatment of patellar transverse fracture.Methods: A total of 58 patients with patellar transverse fracture who accepted operative treatment in our hospital between August 2012 and December 2015 were collected and divided into open surgery group (n=30) and arthroscopic surgery group (n=28) according to the surgical approach.Before operation and 3 months after operation, the knee joint function of two groups of patients was evaluated respectively;3 d after operation, enzyme-linked immunosorbent assay (ELISA) was used to detect serum pain mediators, stress hormones and other trauma-related indicators.Results: Differences in the knee joint function index levels were not statistically significant between two groups of patients before operation (P>0.05);3 months after operation, the maximal knee joint flexibility and maximal extension levels of arthroscopic surgery group were significantly higher than those of open surgery group (P<0.05);3 d after operation, serum prostaglandin (PGI2), dopamine (DA), neuropeptide Y (NPY), substance P (SP), glucocorticoid (Cor), renin (R), angiotensin 1 (Ang1), angiotensin 2 (Ang2), epinephrine (E), norepinephrine (NE) and aldosterone (ALD) levels of arthroscopic surgery group were significantly lower than those of open surgery group (P<0.05).Conclusions: Arthroscopic headless compression screw fixation can optimize the knee joint function and reduce the surgical trauma in patients with patellar transverse fracture.关键词
髌骨横型骨折/关节镜下无头加压螺钉固定/关节功能/创伤程度Key words
Patellar transverse fracture/Arthroscopic headless compression screw fixation/Joint function/Trauma severity分类
医药卫生引用本文复制引用
龚炜..关节镜下无头加压螺钉固定和常规切开固定治疗髌骨横型骨折的关节功能及创伤程度比较[J].海南医学院学报,2017,23(5):635-637,641,4.基金项目
东莞市医疗卫生一般项目(2016108101041) （2016108101041）
It is supported by Health Care General Project of Dongguan City (2016108101041). （2016108101041）
