摘要
[目的]比较爱惜邦缝线与钢丝张力带固定髌骨骨折的临床效果。[方法]回顾性分析2015年11月—2021年12月本科收治的41例髌骨骨折患者。根据医患沟通结果,23例采用缝线张力带固定(缝线组),18例采用钢丝张力带固定(钢丝组)。比较两组围手术期、随访结果及影像资料。[结果]两组手术时间[(58.0±2.0)min vs(57.2±2.3)min,P>0.05]、切口总长度[(7.8±0.3)cm vs(8.0±0.5)cm,P>0.05]、术中失血量[(60.4±2.0)ml vs(55.6±2.4)cm,P>0.05]、切口愈合[甲/乙/丙,(22/1/0)vs(16/2/0),P>0.05]以及住院时间[(11.0±0.6)d vs(12.5±0.7)d,P>0.05]的差异均无统计学意义。两组患者平均随访(17.2±1.0)个月,两组恢复完全负重时间差异无统计学意义(P>0.05)。随时间推移,两组患者VAS评分显著减少(P<0.05),而Kujala评分、Lysholm评分、Bostman评分和膝伸-屈ROM均显著增加(P<0.05),相应时间点两组间上述指标的差异均无统计学意义(P>0.05)。影像方面,两组骨折复位质量、Insall-Salvati指数、骨折愈合时间的差异均无统计学意义(P>0.05)。[结论]爱惜邦缝线张力带固定髌骨骨折可以获得与钢丝张力带相当的临床疗效,且具有良好的安全性。爱惜邦缝线张力带有可能替代传统钢丝张力固定。
[Objective]To compare the clinical efficiency of Ethibond suture versus steel wire tension band for fixation of patellar frac-ture.[Methods]A retrospective study was conducted on 41 patients who received open reduction and internal fixation of patellar fracture inour department from November 2015 to December 2021.According to the doctor-patient communication,23 patients had the fracture fixedwith Ethibond suture tension band(the suture group),while the other 18 cases were with conventional steel wire tension band(the wiregroup).The perioperative period,follow-up results and imaging data of the two groups were compared.[Results]There were no significantdifferences between the two groups in terms of operation time[(58.0±2.0)min vs(57.2±2.3)min,P>0.05],the total length of incision[(7.8±0.3)cm vs(8.0±0.5)cm,P>0.05],intraoperative blood loss[(60.4±2.0)ml vs(55.6±2.4)ml,P>0.05],incision healing grade[A/B/C,(22/1/0)vs(16/2/0),P>0.05]and hospital stay[(11.0±0.6)days vs(12.5±0.7)day,P>0.05].All of them were followed up for(17.2±1.0)months on amean,and there was no significant difference in the time to return to full weight-bearing between the two groups(P>0.05).The VAS scoresdecreased significantly(P<0.05),while the Kujala,Lysholm and Bostman scores,as well as knee extensity-flexion ROM significantly in-creased over time in both groups(P<0.05),whereas which proved not statistically significant between the two groups at any time points ac-cordingly(P>0.05).In terms of imaging,there were no significant differences in the fracture reduction quality,Insall-Salvati index and frac-ture healing time between the two groups(P>0.05).[Conclusion]The Ethibond suture tension band for fixation of patella fracture doesachieve the same clinical efficacy as steel wire tension band fixation,with good safety.Therefore,the suture tension band may replace thetraditional steel wire tension fixation.
作者
胡金龙
王静成
陈鹏涛
张佩
张家乐
何金山
方永超
周岳来
梁远
HU Jin-long;WANG Jing-cheng;CHENPeng-tao;ZHANG Pei;ZHANG Jia-le;HE Jin-shan;FANG Yong-chao;ZHOU Yue-lai;LIANG yuan(Jiangsu Northern Peoples Hospital,Yangzhou 225001,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第22期2017-2021,共5页
Orthopedic Journal of China
基金
国家自然科学基金项目(编号:81772332)
江苏省医学创新团队项目(编号:CXTDB2017004)。
关键词
髌骨骨折
开放复位内固定
爱惜邦缝线
钢丝
张力带
patellar fracture
open reduction internal fixation
Ethibond suture
steel wire
tension band
