关节镜下薇乔抗菌缝线内固定治疗髌骨中下极粉碎性骨折

发布时间：2018-11-01 20:48

【摘要】：目的探讨关节镜下薇乔抗菌缝线内固定治疗髌骨中下极粉碎性骨折的疗效。方法手术治疗40例髌骨下粉碎性骨折患者,20例行克氏针改良张力带固定术(改良张力带组),20例采用关节镜下薇乔抗菌缝线内固定术(薇乔抗菌缝线组),比较两组术中、术后及功能情况。结果改良张力带组比薇乔抗菌缝线组手术出血量多、手术时间与住院时间长,差异均有统计学意义(P0.05)。完全负重时间两组差异无统计学意义(P0.05)。患者均获得随访,时间6~12个月。患肢功能恢复情况:改良张力带组优13例,良5例,可1例,差1例;薇乔抗菌缝线组优17例,良3例,两组优良率差异有统计学意义(P0.05)。并发症:改良张力带组切口裂开、感染1例,薇乔抗菌缝线组无并发症发生。结论关节镜下薇乔抗菌缝线内固定治疗髌骨中下极粉碎性骨折疗效更好,创伤小,操作简便,无需二次手术。
[Abstract]:Objective to investigate the therapeutic effect of Vijo antiseptic suture internal fixation under arthroscopy on comminuted fracture of the middle and lower pole of patella. Methods 40 cases of subpatellar comminuted fracture were treated by operation, 20 cases were treated with modified tension band fixation with Kirschner's needle (modified tension band group), and 20 cases were treated with arthroscopic Viagra antibacterial suture internal fixation (Vijo antibacterial suture group). Postoperative and functional status. Results the amount of blood loss in the modified tension band group was more than that in the Viaggio antibacterial suture group, and the operation time and hospitalization time were longer, the difference was statistically significant (P0.05). There was no significant difference between the two groups (P0.05). All patients were followed up for 6 ~ 12 months. The recovery of limb function in modified tension band group was excellent in 13 cases, good in 5 cases, fair in 1 case, poor in 1 case, and excellent in 17 cases and good in 3 cases in Vijo antibacterial suture group, the difference of excellent and good rate between the two groups was statistically significant (P0.05). Complications: the incision in the modified tension band group was ruptured, infection in 1 case, and no complication occurred in the Vijo antiseptic suture group. Conclusion the treatment of comminuted fracture of the middle and lower pole of patella with Vijo's antibacterial suture under arthroscopy is more effective, less trauma and easier to operate without secondary operation.
【作者单位】：酒泉市人民医院骨科;
【分类号】：R687.4

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