摘要
目的:观察关节镜下经皮空心螺钉联合钢丝环扎术治疗髌骨骨折患者的临床效果。方法:选取78例髌骨骨折患者作为研究对象,按照随机数字表法分为观察组与对照组各39例。观察组给予关节镜下经皮空心螺钉联合钢丝环扎术治疗,对照组给予切开复位联合钢丝环扎术治疗,比较两组手术相关指标水平、术后并发症发生率和膝关节功能评分。结果:观察组切口长度短于对照组,术中出血量少于对照组,住院时间和骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05);观察组术后并发症发生率为2.6%(1/39),明显低于对照组的20.5%(8/39),差异有统计学意义(P<0.05);术后6个月,观察组Lysholm膝关节评分高于对照组,差异有统计学意义(P<0.05);术后12个月,两组Lysholm膝关节评分比较,差异无统计学意义(P>0.05)。结论:关节镜下经皮空心螺钉联合钢丝环扎术治疗髌骨骨折患者,可改善手术相关指标水平,降低术后并发症发生率,且能获得更快的术后关节功能恢复效果及与切开手术相同的远期疗效。
Objective:To discuss clinical effects of arthroscopic percutaneous cannulated screw combined with wire cerclage in treatment of patellar fractures.Methods:78 patients with patella fractures were taken as the research objects and were divided into observation group and control group according to the random number table method,39 cases in each group.The observation group was treated with arthroscopic percutaneous cannulated screw combined with wire cerclage,while the control group was treated with open reduction and wire cerclage.The levels of surgical indicators,the incidence of postoperative complications and knee function scores were compared between the two groups.Results:The incision length in the observation group was shorter than that in the control group;the intraoperative blood loss was less than that in the control group;the hospitalization time and fracture healing time were shorter than those in the control group;and the differences were statistically significant(P<0.05).The postoperative complication rate in the observation group was 2.6%(1/39),which was significantly lower than 20.5%(8/39)in the control group,and the difference was statistically significant(P<0.05).6 months after the surgery,the Lysholm knee score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).12 months after the surgery,there was no significant difference in the Lysholm knee scores between the two groups(P>0.05).Conclusions:Arthroscopic percutaneous cannulated screw combined with wire cerclage in the treatment of the patients with patella fractures can improve the levels of surgical indicators,reduce the incidence of postoperative complications and faster recover the joint function.Moreover,it has the same long-term effects with the open reduction.
作者
陈盼
CHEN Pan(Second Department of Orthopedics of Zhongxiang Second People’s Hospital,Zhongxiang 431900 Hubei,China)
出处
《中国民康医学》
2020年第24期12-14,共3页
Medical Journal of Chinese People’s Health
关键词
关节镜
经皮空心螺钉
切开复位
钢丝环扎术
髌骨骨折
膝关节功能
Arthroscopy
Percutaneous cannulated screw
Open reduction
Wire cerclage
Patella fracture
Knee joint function
