中国现代手术学杂志2018，Vol.22Issue(1)：37-40,4.DOI:10.16260/j.cnki.1009-2188.2018.01.010
关节镜下微创无头加压螺钉内固定与髌骨针联合张力钢丝固定治疗髌骨骨折的优势
Advantages of Arthroscopic Minimally Headless Compression Screws and Patellar Needles Combined with Tension Wire Fixation in the Treatment of Patellar Fractures
摘要
Abstract
Objective To explore the advantages of arthroscopic minimally headless compression screws (HCS) and patellar needles combined with tension wire fixation in the treatment of patellar fractures.Methods Retrospective analysis was carried out in 56 inpatients of patellar fractures in our hospital,including 15 cases treated with traditional open reduction and Kirschner wire fixation (group A),18 cases of arthroscopic headless compression screw fixation (group B),and 23 cases of endoscopic minimally invasive patellar needle combined with tension wire fixation (group C) from March,2015 to March,2017.Results Operation time of group A,B and C was (79.3 ± 8.4) min,(52.2 ± 7.3) min and (61.5 ± 7.8) min with significant difference (P ＜ 0.05).Intraoperative blood loss of group A,B and C was (61.5 ± 8.7) ml,(34.4 ± 5.8) ml and (35.6±4.9) ml.And there was a significant difference between group B(/C) and group A (P ＜0.05).Weidauers effect showed that the excellent and good rate of knee joint function,knee joint movement and fracture reduction in group B and C group were higher than that of group A (P ＜ 0.05).In group A,there was 4 cases (26.7％) had postoperative complications,which was higher than group B (0) and group C (0) during the follow-up period.Conclusion It has definite clinical effects of arthroscopic minimally invasive HCS surgery for patellar transverse fractures,and patellar needles combined with tension band wire fixation for comminuted ones.Compared with the traditional operation,it is recommended of shorter operation time,less injury,quicker knee joint function recovery,more reliable internal fixation,and less postoperative complications.关键词
关节镜/无头加压螺钉/髌骨针/张力带/髌骨骨折Key words
arthroscopy/headless compression screw/patellar needle/tension band/patellar fracture分类
医药卫生引用本文复制引用
李建强,孙虹斐,武强,靳宇,张勇..关节镜下微创无头加压螺钉内固定与髌骨针联合张力钢丝固定治疗髌骨骨折的优势[J].中国现代手术学杂志,2018,22(1):37-40,4.基金项目
河北省卫生厅科技项目(编号:20181238) （编号:20181238）
