Abstract
Objective:To investigate the effect of modified wire anchor fixation on patients with patellar inferior pole fracture.Methods:Data of 102 patients with patellar inferior pole fracture admitted to Shanghe People's Hospital from March 2022 to March 2024 were retrospectively analyzed.They were divided into a control group and a study group according to different surgical methods,with 51 cases in each group.The control group underwent Kirschner needle tension band,and the study group underwent modified wire anchor fixation.The postoperative recovery,pain,knee range of motion,knee function,patellofemoral joint function and complications were compared between the two groups.Results:The incision length,operation time,getting out of bed time and fracture healing time of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).After surgery,the pain visual analogue scale score of the study group was(2.44±0.82)points,lower than(3.26±1.03)points of the control group,and the knee motion was(128.45±8.72)°,higher than(92.48±3.66)° of the control group,the differences were statistically significant(P<0.05).After surgery,the scores of pain,muscle strength,no deformity,functional activity,joint motion,and stability of the Hospital for Special Surgery knee score in the study group were(24.45±4.12)points,(7.03±2.12)points,(7.96±1.68)points,(16.32±2.53)points,(15.16±2.01)points,and(8.04±1.25)points,respectively,which were higher than(19.72±3.54)points,(5.11±1.52)points,(5.43±1.11)points,(13.11±1.78)points,(11.42±1.56)points and(6.51±1.13)points in the control group,and the differences were statistically significant(P<0.05).After surgery,the Bostman patellar fracture function score of the study group was(24.15±3.44)points,which was higher than(20.05±2.13)points of the control group,and the difference was statistically significant(P<0.05).The complication rate of the study group was 3.92%,which was lower than 15.69%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Modified wire anchor fixation is effective in the treatment of patients with patellar inferior pole fracture,which can improve the improvement of knee joint motion,improve the knee joint function and patellofemoral joint function,reduce the occurrence of complications,and accelerate postoperative recovery.关键词
髌骨下极骨折/改良带线锚钉固定术/膝关节活动度/术后恢复Key words
Patellar inferior pole fracture/Modified wire anchor fixation/Knee joint range of motion/Postoperative recovery分类
医药卫生
