克氏针张力带加钛缆环扎治疗复杂髌骨骨折对病人肢体功能及近期疗效的影响

doi:10.3969/j.issn.1005-6483.2022.10.025

临床外科杂志 ›› 2022, Vol. 30 ›› Issue (10): 987-990.doi: 10.3969/j.issn.1005-6483.2022.10.025

克氏针张力带加钛缆环扎治疗复杂髌骨骨折对病人肢体功能及近期疗效的影响

361003 厦门,中国人民解放军陆军第73集团军医院骨科一区

收稿日期:2021-12-22 修回日期:2021-12-22 出版日期:2022-10-20 发布日期:2022-10-20
通讯作者: 刘好源，Email：jasongong7886@163.com
基金资助:
福建省厦门市医学优势亚专科建设项目(2018100-19)

The effect of using Kirschner wire tension band plus titanium cable ring tie on limb function and short-term efficacy of patients with complex patella fracture

*The First District of Orthopedics,the 73rd Army Hospital of the Chinese People’s Liberation Army,Fujian,Xiamen 361003,China

Received:2021-12-22 Revised:2021-12-22 Online:2022-10-20 Published:2022-10-20

摘要/Abstract

摘要： 目的探讨克氏针张力带加钛缆环扎治疗复杂髌骨骨折对病人膝关节功能及近期疗效的影响。方法 2018年12月~2020年12月行骨折手术病人100例，按治疗方法分为观察组和对照组，每组各50例，观察组给予克氏针张力带加用钛缆环扎治疗，对照组给予克氏针张力带治疗。比较两组病人住院时间及疼痛情况，骨折愈合情况，关节功能优良率；比较两组病人并发症发生情况和满意度。结果观察组术后住院时间平均为(8.62±2.69)天，对照组为(10.54±3.54) 天；观察组疼痛评分为(2.51±0.24)分，对照组为(5.52±0.72)分；观察组骨折愈合时间为(10.74±1.58)周，对照组为(13.54±2.69)周，观察组骨折愈合总优良率为88.00%，对照组为60.00%。观察组关节功能优良率为92.00%，对照组为76.00%。观察组并发症发生率为4.00%，对照组为20.00%；观察组满意度评价中总满意度为86.00%，对照组为72.00%，两组比较差异均有统计学意义(P<0.05)。结论克氏针张力带加钛缆环扎治疗复杂髌骨骨折疗效明显，可改善病人膝关节功能，并发症少。

关键词: 克氏针张力带, 钛缆环扎, 髌骨骨折, 肢体功能

Abstract: Objective To investigate the effect of using Kirschner wire tension band plus titanium cable ring tie on the limb function and short-term efficacy of patients with complex patella fracture.Methods A total of 100 patients who underwent patella fracture surgery from December 2018 to December 2020 were selected and divided into the observation group and the control group,50 patients in each group according to the treatment method.The observation group was treated with Kirschner wire tension band plus titanium cable ring ligating,and the control group was treated with Kirschner wire tension band.The surgical conditions of the two groups were compared.Fracture healing;Excellent rate of joint function;The incidence of complications,pain score and satisfaction were compared between the two groups.Results The average postoperative length of hospital stay in the observation group was(8.62±2.69) d,shorter than the (10.54±3.54) d in the control group,and the average pain score was (2.51±0.24) points,which was less than the (5.52±0.72) points(P<0.05) in the control group.The average fracture healing time in the observation group was (10.74±1.58) weeks,which was shorter than that of the control group at (13.54±2.69) weeks,and the overall good rate of fracture healing was 88.00%,which was higher than that of the control group of 60.00%(P<0.05).The excellent rate of joint function in the observation group was 92.00%,which was higher than that of the control group(P<0.05).The complication rate in the observation group was 4.00%,lower than the 20.00(P<0.05) in the control group.The total satisfaction rate of the observation group was 86.00%,which was higher than that of the control group of 72.00%(P<0.05).Conclusion Kirschner wire tension band plus titanium cable ring ligating is effective in the treatment of complex patella fracture,which can improve the limb function of patients with less complications.

Key words: Kirschner wire tension band, Titanium cable ring tie, patellar fracture, limb function

龚灏陈峰嵘刘好源. 克氏针张力带加钛缆环扎治疗复杂髌骨骨折对病人肢体功能及近期疗效的影响[J]. 临床外科杂志, 2022, 30(10): 987-990.

GONG Hao, CHEN Fengrong, LIU Haoyuan. The effect of using Kirschner wire tension band plus titanium cable ring tie on limb function and short-term efficacy of patients with complex patella fracture[J]. JOURNAL OF CLINICAL SURGERY, 2022, 30(10): 987-990.

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克氏针张力带加钛缆环扎治疗复杂髌骨骨折对病人肢体功能及近期疗效的影响

The effect of using Kirschner wire tension band plus titanium cable ring tie on limb function and short-term efficacy of patients with complex patella fracture

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