临床骨科杂志2024，Vol.27Issue(6)：865-868,4.DOI:10.3969/j.issn.1008-0287.2024.06.034
髌骨爪联合钛克氏针治疗多类型髌骨骨折
Treatment of multiple types of patellar fractures by patellar claw combined with titanium Kirschner wire
叶玉国 1王欣 1刘覃娜2
作者信息
- 1. 铜陵市人民医院显微骨科,安徽 铜陵 244000
- 2. 铜陵市人民医院胸痛中心,安徽 铜陵 244000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of patellar claw combined with titanium Kirschner wire in the treatment of multiple types of patellar fracture.Methods The 39 patients with multiple types of patellar fractures were treated by patellar claw combined with titanium Kirschner wire.The operative condition,healing time,complica-tions and knee range of motion were recorded.Bostman score was used to evaluate the therapeutic effect.Results All patients were followed up for 6～36 months.The operative time was 35～115(61.28±18.04)min,the intraoperative blood loss was 2～100(14.79±17.92)ml,and the incision length was 6～10(8.03±0.76)cm.The healing time was 8～16(11.03±1.67)weeks.Incision infection occurred in 1 case and traumatic arthritis occurred in 2 cases.There were no complications such as patellar claw loosening,fracture of titanium Kirschner wire,redisplacement of fracture,thrombosis,pressure sore and pneumonia.At the last follow-up,knee range of motion was flexion with 105°～135°,and extension with 0°～10°.Bostman score was used to evaluate the curative effect:33 cases were excellent,6 cases were good,and the excellent and good rate was100%.Conclusions Patellar claw combined with titanium Kir-schner wire have satisfactory clinical effect on multiple types of patellar fracture,with simple operation,few complica-tions,good postoperative knee function recovery.关键词
髌骨骨折/髌骨爪/钛克氏针Key words
patellar fractures/patellar claw/titanium Kirschner wire分类
医药卫生引用本文复制引用
叶玉国,王欣,刘覃娜..髌骨爪联合钛克氏针治疗多类型髌骨骨折[J].临床骨科杂志,2024,27(6):865-868,4.
