新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的临床疗效

金长礼; 李强; 李文平

doi:10.13898/j.cnki.issn.1000-2200.2018.06.019

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新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的临床疗效

金长礼 , 李强 , 李文平

文章导航 > 蚌埠医学院学报 > 2018, 43 > 6: (764-768)

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Citation:

新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的临床疗效

1. 辽宁省盘锦市盘山县人民医院骨科, 124000;
2. 辽宁省盘锦市中心医院骨科, 124010

作者简介: 金长礼(1968-),男,硕士,副主任医师.

中图分类号: R683

Clinical effect of novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture

1. Department of Orthopedics, The People's Hospital of Panshan County, Panjin Liaoning 124000;
2. Department of Orthopedics, The Central Hospital of Panjin, Panjin Liaoning 124010, China
CLC number: R683

摘要: 目的：观察新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的手术疗效。方法：选取50例髌骨横行骨折病人为研究对象，根据手术方式不同分为2组，对照组23例行常规cable-pin system 微创术，观察组27例行新型空心拉力螺钉联合钛缆张力带内固定术，对比2组病人一般手术情况、并发症发生及膝关节功能恢复情况。结果：观察组手术切口、术中出血量、下地负重时间、骨折愈合时间均明显少于对照组（P<0.01）；术后随访12~27个月，观察组膝关节活动度和膝关节恢复优良率分别为96.30%、100.00%，均高于对照组的86.96%、82.61%，但差异无统计学意义（P>0.05）；对照组中仅1例出现皮肤刺痛、1例感染，并发症发生率为8.70%，观察组无一例发生并发症，差异无统计学意义（P>0.05）。结论：新型螺钉联合钛缆张力带微创治疗髌骨横向骨折切口小、术中出血量少、术后恢复快，有利于骨折愈合和膝关节功能恢复，可作为首选术式之一在临床上广泛推广和应用。
- 髌骨骨折 /
- 空心拉力螺钉 /
- 钛缆张力带
Abstract: Objective:To observe the clinical effects of novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture.Methods:Fifty patients with patellar transverse fractures was divided into the control group(23 cases) and observation group(27 cases) according to the different surgical procedures.The control group was treated with conventional cable-pin system minimally invasive surgery,and the observation group was treated with novel hollow lag screws combined with titanium cable tension band fixation.The operation situation,complication and knee function recovery between two groups were compared.Results:The incision and intraoperative bleeding volume,off-bed bearing time and fracture healing time in observation group were significantly less than those in control group(P<0.01).All patients were followed up for 12 to 27 months.The excellent rates of knee joint activity and knee joint recovery in observation group and control group were (96.30% and 100.00%) and (86.96% and 82.61%),respectively,and the difference of which was not statistically significant(P>0.05).One case with skin pricking and 1 case with infection in control group were found,and the difference of the incidence rate of complications between the control group(8.70%) and observation group(0.00%) was not statistically significant(P>0.05).Conclusions:The novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture has small incision,little bleeding and quick recovery,which can be used as one of the preferred type of operation,and is worthy of promotion and application in clinic.
- patella fracture /
- hollow screw /
- titanium cable tension band

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新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的临床疗效

作者简介: 金长礼(1968-),男,硕士,副主任医师.

1. 辽宁省盘锦市盘山县人民医院骨科, 124000;
2. 辽宁省盘锦市中心医院骨科, 124010

收稿日期: 2016-12-30
录用日期: 2018-03-16

关键词:

摘要: 目的：观察新型空心拉力螺钉联合钛缆张力带微创治疗髌骨横行骨折的手术疗效。方法：选取50例髌骨横行骨折病人为研究对象，根据手术方式不同分为2组，对照组23例行常规cable-pin system 微创术，观察组27例行新型空心拉力螺钉联合钛缆张力带内固定术，对比2组病人一般手术情况、并发症发生及膝关节功能恢复情况。结果：观察组手术切口、术中出血量、下地负重时间、骨折愈合时间均明显少于对照组（P<0.01）；术后随访12~27个月，观察组膝关节活动度和膝关节恢复优良率分别为96.30%、100.00%，均高于对照组的86.96%、82.61%，但差异无统计学意义（P>0.05）；对照组中仅1例出现皮肤刺痛、1例感染，并发症发生率为8.70%，观察组无一例发生并发症，差异无统计学意义（P>0.05）。结论：新型螺钉联合钛缆张力带微创治疗髌骨横向骨折切口小、术中出血量少、术后恢复快，有利于骨折愈合和膝关节功能恢复，可作为首选术式之一在临床上广泛推广和应用。

English Abstract

Clinical effect of novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture

1. Department of Orthopedics, The People's Hospital of Panshan County, Panjin Liaoning 124000;
2. Department of Orthopedics, The Central Hospital of Panjin, Panjin Liaoning 124010, China

Received Date: 2016-12-30
Accepted Date: 2018-03-16

Abstract: Objective:To observe the clinical effects of novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture.Methods:Fifty patients with patellar transverse fractures was divided into the control group(23 cases) and observation group(27 cases) according to the different surgical procedures.The control group was treated with conventional cable-pin system minimally invasive surgery,and the observation group was treated with novel hollow lag screws combined with titanium cable tension band fixation.The operation situation,complication and knee function recovery between two groups were compared.Results:The incision and intraoperative bleeding volume,off-bed bearing time and fracture healing time in observation group were significantly less than those in control group(P<0.01).All patients were followed up for 12 to 27 months.The excellent rates of knee joint activity and knee joint recovery in observation group and control group were (96.30% and 100.00%) and (86.96% and 82.61%),respectively,and the difference of which was not statistically significant(P>0.05).One case with skin pricking and 1 case with infection in control group were found,and the difference of the incidence rate of complications between the control group(8.70%) and observation group(0.00%) was not statistically significant(P>0.05).Conclusions:The novel hollow lag screw combined with titanium cable tension band in the minimally invasive treatment of patellar transverse fracture has small incision,little bleeding and quick recovery,which can be used as one of the preferred type of operation,and is worthy of promotion and application in clinic.