髌骨骨折和创伤性关节炎的基础与临床研究

发布时间：2018-03-17 18:09

本文选题：髌骨骨折　切入点：创伤性关节炎　出处：《双足与保健》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨和分析髌骨骨折和创伤性关节炎的基础与临床特征。方法将该院在2013年1月—2016年12月期间接受治疗的40例单膝髌骨骨折患者选取为该次的研究对象,对所有患者进行DR检查,采用Bostman髌骨损伤疗效评分标准对所有患者的膝关节功能进行评价。结果膝关节交叉韧带损伤合并髌骨骨折的总发生率大约为11.5%,膝关节交叉韧带损伤会很容易引起患者发生膝关节骨关节炎的症状。所有患者中,有3例患者属于高能量创伤,8例患者属于低能量创伤,低能量创伤的患者损伤率为3.0%,高能量患者的损伤率明显的高于低能量患者的损伤率,两组间相比较,差异有统计学意义(P0.05)。横行骨折的患者有4例,属于粉碎性骨折的患者有36例。横行骨折患者的损伤率为3.4%,粉碎性骨折患者的损伤率明显的高于横行骨折患者的损伤率。两组间相比较,差异具有统计学意义(P0.05)。结论髌骨骨折病发后的并发症就是创伤性的关节炎,而其中造成髌骨骨折的主要危险因素就是车祸伤,髌骨骨折与交叉韧带损伤之间存在密切的相关联系,如果能够清楚的认识到其中的关联,对诊断和治疗该疾病有重要意义。值得借鉴应用。
[Abstract]:Objective to investigate and analyze the basic and clinical features of patellar fracture and traumatic arthritis. Dr for all patients, Results the total incidence of knee joint cruciate ligament injury with patellar fracture was about 11.5. the knee joint cruciate ligament injury could easily be caused by knee joint cruciate ligament injury. Of all patients with osteoarthritis of the knee, There were 3 patients with high energy trauma and 8 patients with low energy trauma. The injury rate of patients with low energy trauma was 3.0. The injury rate of high energy patients was significantly higher than that of low energy patients. The difference was statistically significant (P 0.05). There were 4 patients with transverse fractures. There were 36 patients with comminuted fractures. The injury rate of patients with transverse fractures was 3.4. The injury rate of comminuted fractures was significantly higher than that of patients with transverse fractures. Conclusion the complication of patellar fracture is traumatic arthritis, and the main risk factor of patellar fracture is traffic accident. There is a close correlation between patellar fracture and cruciate ligament injury. If we can clearly recognize the relationship between patella fracture and cruciate ligament injury, it is important to diagnose and treat this disease.
【作者单位】：邻水县兴仁中心卫生院;
【分类号】：R683;R684.3

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