双线锚钉固定结合缝线张力带技术治疗老年髌骨下极骨折的临床疗效分析
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南京医科大学第一附属医院(江苏省人民医院骨科)

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国家自然科学基金项目(青年项目)


Clinical effect of double-wire suture anchor fixation combined with suture weave tension band technique in the treatment of patellar inferior pole fracture in the elderly.ZUO Qiang , LV Tianrun , FANG Jiahu , QING Xiaodong , HUANG Xiaowen*
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National Natural Science Foundation of China ,

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    摘要:

    目的:探索运用双线锚钉固定结合缝线张力带技术治疗老年髌骨下极骨折的临床疗效。方法:根据纳入-排除标准,回顾性分析2020年1月至2021年12月在南京医科大学第一附属医院(江苏省人民医院)骨科治疗的老年髌骨下极骨折患者共55人。按不同治疗方法,分为双线锚钉固定结合缝线张力带治疗组(A组)和传统克氏针张力带治疗组(B组),A组27例,B组28例。对两组的术前等待时间、手术时间、术中出血、术中透视次数、骨折愈合时间、膝关节屈伸活动范围(ROM)、并发症发生率等临床数据和术后膝关节功能(Bostman评分和优良率)进行比较。结果:所有患者均获得随访,平均随访13.2个月。A组在手术时间、术中透视次数、骨折愈合时间、膝关节屈伸活动范围(ROM)、Bostman评分和膝关节功能优良率等指标上,明显优于B组,差异有统计学意义(P<0.05)。在术前等待时间、术中出血、术后并发症发生率等指标比较上,A、B两组无明显统计学差异(P>0.05)。结论:对于老年髌骨下极骨折运用双线锚钉固定结合缝线张力带技术治疗可以取得较好的临床疗效,值得进一步推广使用。

    Abstract:

    Objective: To explore the clinical effect of double-wire suture anchor fixation combined with suture weave tension band technique in the treatment of patellar inferior pole fracture in the elderly. Methods: According to the inclusion-exclusion criteria, 55 elderly patients with patellar inferior pole fracture recruited in the Department of Orthopedics, First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital) from January 2020 to December 2021 were retrospectively analyzed and divided into two groups: double-wire anchor fixation combined with suture tension band treatment group (Group A) and traditional Kirschner wire tension band treatment group (Group B). 27 cases were in Group A and 28 cases were in Group B.Clinical data such as preoperative waiting time, operation time, intraoperative blood loss, intraoperative fluoroscopy times, fracture healing time, knee joint flexion and extension range of motion (ROM), incidence of complications and postoperative knee joint function (evaluated by Bostman score and excellent rate) were compared between two groups. Results: All patients were followed up for an average of 13.2 months. The operation time, intraoperative fluoroscopy times, fracture healing time, knee joint flexion and extension range of motion (ROM), Bostman score and excellent rate in Group A were significantly better than those in Group B (P<0.05). There were no significant differences in the preoperative waiting time, intraoperative blood loss and postoperative complications between Group A and Group B (P>0.05). Conclusion: Double-wire suture anchor fixation combined with suture weave tension band technique can achieve good clinical effect for the elderly patients with patellar inferior pole fracture, which is worthy of further promotion.

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  • 收稿日期:2023-07-01
  • 最后修改日期:2023-07-01
  • 录用日期:2023-10-20
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