自制骨科导向复位钳在髌骨骨折术中应用

发布时间：2018-02-10 19:17

本文关键词： 髌骨骨折张力带骨科导向复位钳　出处：《中国矫形外科杂志》2017年06期 　论文类型：期刊论文

【摘要】：[目的]探讨自行研制骨科导向复位钳在髌骨骨折术中的临床应用效果。[方法]2012年2月~2015年12月,对70例符合纳入标准的横行髌骨骨折进行临床研究,按照入院顺序随机分为导向复位钳组35例和点式复位钳组35例。两组均采用胥氏改良张力带钢丝固定法固定。导向复位钳组采用导向复位钳加压复位减少骨折间隙、引导克氏针置入。点式复位钳组采用点式复位钳复位,不借助任何定位导向置入克氏针。观察手术时间、克氏针首次置入位置、置入次数、透视次数、遗留的骨折端间隙,并依B?stman评分标准对膝关节功能进行评估。[结果]随访12个月~2年。骨折均愈合,愈合率100%。导向复位钳组在手术时间、穿针次数、置针准确性方面均优于点式复位钳组,差异有统计学意义(P0.05)。[结论]骨科导向复位钳在髌骨骨折手术中有利于克氏针的准确置入,降低了手术难度,可减少术中X射线暴露,临床疗效良好。
[Abstract]:[objective] to investigate the clinical application of orthopedic guided reduction forceps in patellar fractures. [methods] from February 2012 to December 2015, 70 patients with transverse patellar fractures who met the inclusion criteria were studied. According to the order of admission, they were randomly divided into guided reduction clamp group (35 cases) and point reduction forceps group (35 cases). To guide Kirschner needle placement. The point reduction forceps group was reduced by point reduction forceps, without any positioning guide, and Kirschner needle was inserted into the position, times, times of fluoroscopy, and the remaining fracture end space. And Bon? Stman score was used to evaluate the function of knee joint. [results] 12 months to 2 years follow-up showed that the fracture healed and the healing rate was 100%. The guided reduction forceps group was superior to the point reduction forceps group in the operation time, the times of needle puncture and the accuracy of needle insertion. The difference was statistically significant (P 0.05). [conclusion] the orthopedic guided reduction forceps are beneficial to the accurate placement of Kirschner's needle in the operation of patellar fracture, reduce the difficulty of operation, reduce the exposure of X ray during operation, and have good clinical effect.
【作者单位】：滨州医学院;滨州医学院附属淄博市临淄区人民医院骨一科;滨州医学院附属医院脊柱外科;滨州医学院附属医院创伤骨科;
【分类号】：R687.3

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