中国医学创新2026，Vol.23Issue(19)：25-30,6.DOI:10.3969/j.issn.1674-4985.2026.19.006
空心螺钉联合张力带内固定治疗青少年胫骨结节骨折的临床效果及对应激指标的影响
The Clinical Effect of Hollow Screw Combined with Tension Band Internal Fixation in the Treatment of Adolescent Tibial Tuberosity Fracture and Its Influence on Stress Indexes
摘要
Abstract
Objective:To explore the clinical effect of hollow screw combined with tension band internal fixation in the treatment of adolescent tibial tuberosity fracture(ATTF)and its influence on stress indexes.Method:The clinical data of 113 patients with ATTF admitted to Yingtan 184 Hospital from February 2023 to February 2025 were retrospectively selected.According to different treatment methods,they were divided into observation group(57 cases,treated with hollow screw combined with tension band internal fixation)and control group(56 cases,treated with hollow screw internal fixation).The Tegner activity score,Lysholm score,Hospital for Special Surgery knee score(HSS score),perioperative and postoperative recovery indexes(time of the first postoperative knee joint activity reaching 90°,the first postoperative weight-bearing time,hospitalization time),stress indexes[CRP,cortisol(Cor),prostaglandin E2(PGE2)]and complications(early closure of epiphyseal plate,failure of internal fixation,incision infection,difference in length of lower limbs,fracture displacement)were compared between the two groups.Result:The Tegner activity score,Lysholm score and HSS score at 1 month after operation of the observation group were higher than those of the control group(P<0.05).The hospitalization time of the observation group was shorter than that of the control group,and the time of the first postoperative knee joint activity reaching 90° and the first postoperative weight-bearing time were earlier than those of the control group(P<0.05).The levels of CRP,Cor and PGE2 at 3 days after operation in the observation group were lower than those in the control group(P<0.05).Within 1 month after the operation,the incidence of complications in the observation group(1.75%)was lower than that in the control group(12.50%)(P<0.05).Conclusion:The internal fixation treatment of hollow screw combined with tension bands can accelerate the recovery of knee joint function in patients with ATTF,shorten the hospital stay,and reduce stress responses and the occurrence of complications.关键词
张力带/空心螺钉/青少年胫骨结节骨折Key words
Tension band/Hollow screw/Adolescent tibial tuberosity fracture分类
医药卫生引用本文复制引用
李张,瞿年兵,郭金星,郑能方,孙琦,邱军荣..空心螺钉联合张力带内固定治疗青少年胫骨结节骨折的临床效果及对应激指标的影响[J].中国医学创新,2026,23(19):25-30,6.基金项目
江西省2025年指导性科技计划项目(20255-211819) （20255-211819）
