摘要
Abstract
Objective:To explore the advantages of headless compression screw(HCS) fixation and patellar needle combined with tension wire fixation in the treatment of patellar fracture under arthroscope.Methods:56 cases of patellar fracture patients were given retrospective analysis.15 cases were treated with traditional open reduction and Kirschner wire fixation were selected as group A, 18 cases of HCS fixation under arthroscope were selected as group B,23 cases of patients treated with patella needle combined with ten-sion wire fixation under arthroscope were selected as group C.The operation time,intraoperative bleeding volume,fracture healing,joint recovery and postoperative complications in the three groups were compared.Results:The operation time of group A,group B and group C was (79.3+8.4) min,(52.2+7.3) min,(61.5+7.8) min,the difference was statistically significant(P<0.05).The amount of bleeding in group A,group B and group C was (61.5+8.7) mL,(34.4+5.8) mL and (35.6+4.9) mL,there was no significant difference between group B and group C (P>0.05),there was significant difference between group B(C) and group A(P<0.05). The excellent rate of knee joint function,knee joint movement and fracture reduction in group B and group C were higher than those in group A,the difference was statistically significant (P<0.05).There was no significant difference between the group B and the group C (P>0.05).In group A,4 cases (26.7%) had postoperative complications, including 2 cases of postoperative infection,1 case of internal fixation loss,1 case of internal fixation fracture,but no complications occurred in group B and group C during the follow-up pe-riod.Conclusions:The minimally invasive surgery combined with HCS under arthroscope for patellar transverse fractures,self folding patellar needle combined with tension band wire fixation for comminuted patellar fracture has definite clinical effect.Compared with the traditional operation,the operation time is shorter,the injury is less,the knee joint function recovery is faster, the internal fixation is more reliable,and the postoperative complications are less,so it is worthy of application.关键词
关节镜/无头加压螺钉/髌骨针/髌骨骨折Key words
Arthroscope/Headless compression screw/Patellar needle/Patellar fracture分类
医药卫生
