摘要
[目的]探讨5#爱惜邦线间断垂直缝合技术治疗髌骨下极粉碎性骨折的临床效果。[方法]2018年8月—2020年11月采用5#爱惜邦线间断垂直缝合技术对34例髌骨下极粉碎性骨折进行治疗。评价临床与影像结果。[结果]34例患者均顺利完成手术,术中无重要神经、血管损伤等并发症。切口均顺利愈合。所有患者均获得平均(12.88±0.91)个月随访。术后12个月,膝前痛的VAS评分(0.82±1.14)分,Bostman髌骨骨折功能评分为(27.68±2.27)分,临床结果优29例,良5例,优良率100%。影像方面,术后骨折无再移位,骨折愈合时间12~16周,Insall-Salvati指数平均为(1.02±0.08)。[结论]5#爱惜邦线间断垂直缝合技术治疗髌骨下极粉碎性骨折,技术简单,临床效果满意。
[Objective]To investigate the clinical outcomes of interrupted vertical mattresses suture for comminuted fractures of the lower patellar pole.[Methods]From August 2018 to November 2020,34 patients received internal fixation of comminuted fractures of the lower patellar pole by interrupted vertical mattresses suture with No.5 ethibond.The clinical and imaging findings were evaluated.[Results]All the 34 patients had operation performed successfully without complications such as injuries to important nerves and blood vessels,while with well incisions healing.The patients were followed up for(12.88±0.91)months on an average.At 12 months after operation,the VAS score of anterior knee pain was of(0.82±1.14),and the Bostman function score for patellar fracture was of(27.68±2.27).The clinical results were marked as excellent in 29 cases,good in 5 cases,with an excellent and good rate of 100%.Radiographically,no re-displacement of the fracture was found in anyone of them,whereas the fracture healed from 12 to 16 weeks with a mean Insall-Salvati index of(1.02±0.08).[Conclusion]Interrupted vertical mattresses sutures with No.5 ethibond are not only simple in technique,but also achieve satisfactory clinical outcomes for comminuted fracture of the lower patellar pole.
作者
许福生
夏平
程安源
张伟
XU Fu-sheng;XIA Ping;CHENG An-yuan;ZHANG Wei(Departmens of Onhopedics,First Hospital of Wuhan City,Wuhan 430022 China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2022年第22期2087-2089,共3页
Orthopedic Journal of China
基金
武汉市卫生计生委科研计划资助项目(编号:WX20A10)。
关键词
髌骨下极骨折
爱惜邦线
间断垂直缝合
fracture of the lower patellar pole
ethibond suture
interrupted vertical mattresses suture
