摘要
目的探讨关节镜辅助下内固定治疗髌骨骨折的临床疗效。方法将45例髌骨骨折患者随机分为对照组(19例)和观察组(26例),对照组采用传统切开复位内固定治疗,观察组采用关节镜辅助下微创内固定治疗。观察两组患者手术切口大小、骨折愈合时间、总体疗效及术后不良情况。结果观察组患者总体疗效显著优于对照组,差异有统计学意义(P<0.05)。观察组患者手术切口和骨折愈合时间、膝关节屈伸活动度及Lysholm膝关节评分均优于对照组(P<0.05)。此外,观察组患者术后感染发生率低于对照组,两组比较差异无统计学意义(P>0.05)。结论关节镜辅助下内固定治疗髌骨骨折疗效优于传统的切开复位内固定治疗,可作为髌骨骨折治疗的首选方法。
Objective To discuss the clinical efficacy on patellar fracture treatment with arthroscopy - assisted internal fixation. Methods Forty - five cases of patellar fracture were randomized into a control group（ 19 cases）and an observation group（ 26 cases）. In the control group, the traditional open reduction and internal fixation was used. In the observation group, the arthroscopy - assisted minimally invasive internal fixation was adopted. The incision size, fracture healing time, overall efficacy and postoperative adverse condi- tions were observed in the patients of the two groups. Results The overall efficacy in the observation group was significantly better than that in the control group,indicating the significant difference（ P 〈0.05 ）. In the observation group,the incision, fracture healing time, knee joint flexion range and Lysholm knee joint score were all superior to the control group （ P 〈 0.05 ）. Additionally, the postoperative infection incidence in the observation group was lower than that in the control group, indicating the significant difference （ P 〉 0.05 ）. Conclusion The arthroscopy - assisted internal fixation achieves the superior efficacy on patellar fracture as compared with traditional open reduction and internal fixation and can be the first approach to the treatment of patellar fracture.
出处
《世界中西医结合杂志》
2014年第10期1096-1098,共3页
World Journal of Integrated Traditional and Western Medicine
关键词
关节镜
髌骨骨折
内固定
Arthroscopy
Patellar Fracture
Internal Fixation
