临床骨科杂志2024，Vol.27Issue(6)：873-875,3.DOI:10.3969/j.issn.1008-0287.2024.06.036
交叉克氏针侧方张力带技术治疗髌骨骨折
Cross Kirschner wire and lateral tension band technique for treatment of patellar fractures
喻忠斌 1覃松 1车彪 1李鹏斌 1何精选 1韩先顺 1邹凯1
作者信息
- 1. 长江航运总医院骨科,湖北 武汉 430010
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effect of cross Kirschner wire lateral tension band technique on patellar fracture.Methods The 21 patients with patellar fractures were treated with cross Kirschner wire lateral ten-sion band technique.Surgery condition,fracture healing time and knee activity were recorded.Pain VAS was used to e-valuate the pain of the affected knee.Lysholm score was used to evaluate the functional recovery of the affected knee.Results All patients were followed up for 6～20(10.5±2.4)months.The operative time was 35～55(42.0±8.2)min,and the intraoperative blood loss was 10～30(12.5±2.5)ml.All the incisions healed in one-stage,and there were no complications such as wound infection,fracture displacement,loosening and fracture of the internal fixation.Joint stiffness occurred in 1 patient at 1 month after operation.All fractures healed within 3～5 months.Six months af-ter surgery,the pain VAS was 0 point in 18 cases and 1～3 points in 3 cases.Lysholm score was used to evaluate the functional recovery of knee joint:13 cases were excellent,5 good,3 fair,and the excellent-good rate was 18/21.At the last follow-up,knee flexion was 115°～130°,hyperextension was 0°～5°,and all patients returned to normal gait.Conclusions The treatment of patellar fracture with cross Kirschner wire lateral tension band technique is simple,which can significantly improve the pain and function of the affected knee,with satisfactory clinical effect.关键词
髌骨骨折/张力带技术/克氏针Key words
patellar fractures/tension band technique/Kirschner wire分类
医药卫生引用本文复制引用
喻忠斌,覃松,车彪,李鹏斌,何精选,韩先顺,邹凯..交叉克氏针侧方张力带技术治疗髌骨骨折[J].临床骨科杂志,2024,27(6):873-875,3.
