临床骨科杂志2024，Vol.27Issue(6)：869-872,4.DOI:10.3969/j.issn.1008-0287.2024.06.035
预断式带孔克氏针张力带治疗老年髌骨骨折的疗效
The efficacy of pre-disconnected perforated Kirschner wire tension band in the treatment of patellar fractures in the elderly
摘要
Abstract
Objective To investigate the efficacy of pre-disconnected perforated Kirschner wire tension band in the treatment of patellar fracture in the elderly.Methods Seventy elderly patients with patellar fractures were divided in-to observation group(35 cases were treated with pre-disconnected perforated Kirschner wires tension band)and con-trol group(35 cases were treated with traditional AO Kirschner wires tension band),according to random number ta-ble method.The volume of intraoperative blood loss,operation time,the time to get out of bed for the first time,hospi-talization time,fracture healing time,postoperative complications,and knee joint activity were compared between the two groups.Knee joint function was evaluated according to Böstman scoring standard.Results All patients were fol-lowed up for 7～14 months.The volume of intraoperative blood loss,operation time and hospitalization time in the ob-servation group were less(shorter)than those in the control group(P＜0.05).The time to get out of bed for the first time and the fracture healing time had no statistical significance between the two groups(P＞0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P＜0.05).At 6 months after operation,the excellent and good rate of knee function evaluated by Böstman standard in the observation group was higher than that in the control group(P＜0.05).At the last follow-up,knee flexion rang of motion in the observa-tion group was greater than that in the control group(P＜0.05).Conclusions In the treatment of elderly patellar fracture,the pre-disconnected perforated Kirschner wire tension band has the advantages of less intraoperative blood loss,short operation time,short hospitalization time,fewer postoperative complications and good knee function recovery.关键词
髌骨骨折/克氏针/张力带/内固定/老年人Key words
patellar fractures/Kirschner wire/tension band/internal fixation/aged分类
医药卫生引用本文复制引用
蒋柒,唐承杰,贾军锋,潘汝南,李峰,刘晶晶..预断式带孔克氏针张力带治疗老年髌骨骨折的疗效[J].临床骨科杂志,2024,27(6):869-872,4.基金项目
四川省医学会科研基金(编号:S22087) （编号:S22087）
