两种不同内固定手术对髌骨骨折患者术后膝关节功能恢复的影响

目的:探讨两种不同的手术方式(钛制空心钉结合张力带内固定手术)对髌骨骨折患者的临床疗效和安全性比较。方法:选择2016年6月-2017年10月治疗的髌骨骨折患者72例作为对象,使用随机数字表,随机分为对照组(n=36)和观察组(n=36)。对照组给予常规的克氏针张力带内固定进行手术,观察组则使用空心钉张力带进行固定。治疗后对患者效果进行统计和评估,比较两组患者的术后骨折的愈合时间,功能恢复(最大屈曲角度),髌骨评分以及并发症等指标。结果:根据不同的治疗方式后,观察组(空心钉张力带固定组)在骨折的愈合时间,功能恢复,髌骨评分以及并发症等比较指标中较对照组均有显著优势,其结果具备统计学意义(P<0.05)。结论:将钛制空心钉结合张力带内固定手术用于髌骨骨折与传统的克氏针张力带固定方法相比较,具有操作简便,骨折愈合率高,功能恢复确实,并发症发生率低等诸多优点,值得在临床中进一步推广应用。

Comparison of Two Operative Methods in the Treatment of Knee Function Recovery in Patients with Patella Fracture

ABSTRACT Objective: To compare the 2 different ways of the effect of Kirschner wire tension band and hollow nail tension band in the treatment of transverse patellar fracture. Methods: 72 patients with patella fracture treated from June 2016 to October 2017 were selected as objects and randomly divided into control group (n=36) and observation group (n=36) according to the procedures of hospitalization. The control group was treated with Kirschner wire tension band internal fixation, and the observation group was treated with treated with hollow nail tension band fixation. Results: Compared to the two groups, the fracture healing time, postoperative complications, maximal knee flexion angle and Bostman patella score in observation group were better than those in control group ((P<0.05). Conclusion: Compared with Kirschner wire tension band, hollow nail tension band has the advantages of simple operation, reliable fixation, quick fracture healing, good knee joint function and fewer postoperative complications. It is worthy of clinical application.