三维捆扎复位技术在髌骨骨折治疗中的初步应用研究

发布时间：2018-12-18 15:13

【摘要】：目的介绍一种三维捆扎复位技术,探讨其用于髌骨骨折治疗的疗效。方法将2015年1月—6月收治并符合选择标准的32例髌骨骨折患者纳入研究,随机分为巾钳复位组(对照组)和三维捆扎复位组(试验组),每组16例。两组患者性别、年龄、损伤侧别、致伤原因、骨折类型以及受伤至手术时间等一般资料比较,差异均无统计学意义(P0.05)。记录两组患者手术时间、术中透视时间、骨折愈合时间及并发症发生情况,采用美国特种外科医院(HSS)评分评价膝关节功能。结果术后两组切口均Ⅰ期愈合。两组患者均获随访,随访时间10~14个月,平均12.4个月。试验组手术时间、术中透视时间较对照组明显减少,比较差异均有统计学意义(t=6.212,P=0.000;t=6.585,P=0.000)。X线片复查示,两组骨折均顺利愈合,均未出现骨不连、感染和断钉等并发症。两组骨折愈合时间比较差异无统计学意义(t=1.973,P=0.058)。术后6个月试验组膝关节HSS评分为(91.6±3.8)分,明显高于对照组的(86.4±5.5)分,比较差异有统计学意义(t= 3.105,P=0.004)。结论与传统巾钳复位技术相比,三维捆扎复位技术治疗髌骨骨折能够缩短手术时间及术中透视时间,在不影响骨折愈合情况下,膝关节功能恢复更好。
[Abstract]:Objective to introduce a three-dimensional binding reduction technique and to evaluate the effect of treatment of patellar fracture. Methods Thirty-two patients with patellar fracture admitted from January to June 2015 were randomly divided into two groups: the towel forceps reduction group (control group) and the three-dimensional binding reduction group (experimental group) with 16 cases in each group. There was no significant difference in sex, age, injury side, cause of injury, fracture type and time from injury to operation between the two groups (P0.05). The operative time, fluoroscopy time, fracture healing time and complications were recorded in the two groups. The knee joint function was evaluated by (HSS) score of American Special surgery Hospital. Results all the incisions healed in one stage after operation. The patients in both groups were followed up for 10 ~ 14 months (mean 12.4 months). The operative time and fluoroscopy time in the trial group were significantly reduced than those in the control group, and the differences were statistically significant (t = 6.212P < 0.000). The results showed that the fracture healed smoothly in both groups, and there were no complications such as nonunion, infection and broken nail. There was no significant difference in fracture healing time between the two groups (t = 1.973, P = 0.058). The HSS score of knee joint in the test group was (91.6 卤3.8) at 6 months after operation, which was significantly higher than that in the control group (86.4 卤5.5). The difference was statistically significant (t = 3.105). Conclusion compared with the traditional technique of reduction with towel forceps, the treatment of patellar fracture with three dimensional binding and reduction can shorten the operative time and the time of fluoroscopy during operation, and the function of knee joint can recover better without affecting the healing of fracture.
【作者单位】：深圳市人民医院骨关节科暨南大学附属第二临床医学院;
【分类号】：R687.3

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