文章摘要
王凌志,潘宏,方帆,等.针缆系统多轴固定治疗粉碎性髌骨骨折 8例[J].安徽医药,2020,24(8):1603-1606.
针缆系统多轴固定治疗粉碎性髌骨骨折 8例
Application of 8 cases of multi?axis fixation with wire and cable system in comminuted patellar fracture
  
DOI:10.3969/j.issn.1009?6469.2020.08.032
中文关键词: 膝损伤  髌骨  骨折固定术,内  髌骨骨折  针缆系统  多轴固定
英文关键词: Knee injuries  Patella  Fracture fixation,internal  Patellar fracture  Needle and cable system  Multiaxial fixation
基金项目:
作者单位
王凌志 安庆市立医院骨科安徽安庆 246000 
潘宏 安庆市立医院骨科安徽安庆 246000 
方帆 安庆市立医院骨科安徽安庆 246000 
吴一凡 安庆市立医院骨科安徽安庆 246000 
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中文摘要:
      目的比较针缆系统多轴固定及传统张力带治疗髌骨粉碎性骨折的疗效。方法选取 2017年 2月至 2018年 5月在安庆市立医院进行治疗的单侧复杂粉碎性髌骨骨折病人 21例,依据手术方案分为针缆系统多轴固定组(观察组) 8例和克氏针张力带组(对照组) 13例。比较两组术中出血量、手术时间、住院花费、术后并发症、膝关节功能等。结果观察组与对照组手术时间[(47.50±8.86)min比(51.54±5.91)min]、术中出血量[(66.25±25.60)mL比(69.23±13.82)mL]差异无统计学意义(P>0.05)。住院费用对照组(1.12±0.11)万元,观察组(1.53±0.28)万元,对照组少于观察组。观察组 6个月后膝关节功能 Bostman评分(26.50±2.93)分优于对照组(22.69±3.35)分,差异有统计学意义(P<0.05)。观察组皮肤激惹 2例,未发现针缆断裂、髌骨针脱出、骨折移位等现象,对照组皮肤激惹 3例,骨折轻度移位 2例,观察组优于对照组。结论针缆系统多轴固定方式具有操作简便、并发症少、效果良好的特点,在治疗粉碎性髌骨骨折上是值得推荐的手术方案。
英文摘要:
      Objective To investigate the effect of multi?axis fixation with wire and cable system and Kirschner wire tension bandin the treatment of comminuted patellar fracture.Methods Twenty?one patients with comminuted patellar fracture treated in Anq?ing Municipal Hospital from February 2017 to May 2018 were retrospectively analyzed,and assigned into 8 patients of multi?axis fixation of the wire and cable system(observation group)and 13 patients of tension band fixation of the Kirschner wire(control group)according to the surgical plan.The amount of bleeding during the operation,the operation time,hospital expenses,postopera? tive complications and knee function were compared and analyzed.Results There was no significant difference in operation time[(47.50±8.86)min vs.(51.54±5.91)min]and bleeding volume[(66.25±25.60)mL vs.(69.23±13.82)mL]between the two groups(P>0.05).The cost of hospitalization in the control group(1.12±0.11)was significantly less than that in the observation group(1.53±0.28).The Bostman score(26.50±2.93)of the knee function in the observation group was better than that in the con? trol group(22.69±3.35)after 6 months,and the difference was statistically significant(P<0.05).There were 2 cases of skin irrita? tion in the observation group,and no phenomena such as broken needle cables,patellar needle prolapse,and fracture displacement were found.In the control group,3 cases of skin irritation and 2 cases of mild fracture displacement were observed.The observationgroup was superior to the control group.Conclusion The multi?axis fixation with wire and cable system has the characteristics of simple operation,less complications and good results.It is recommended to treat comminuted patellar fracture.
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