X形锁定接骨板加缝线环扎固定治疗横行髌骨骨折

发布时间：2019-01-08 17:47

【摘要】：[目的]探讨X形四孔锁定板加胸骨缝线环扎治疗髌骨骨折的手术适应证及疗效。[方法]通过回顾性研究,观察低切迹、带变向螺钉的X形多功能接骨钢板加缝线环扎术治疗横行髌骨骨折患者共22例的疗效。对所有患者的功能恢复、并发症和影像学表现进行随访。[结果]平均手术时间,透视次数,术后12个月随访时关节活动和Lysholm评分分别为(47.4±7.7)min,(1.41±0.6)次,(136.44±11.01)°和(92.33±2.79)分,平均VAS评分为(0.42±0.57)分。1例发生关节僵硬,2例发生局部异物刺激反应,并发症发生率为13.6%。所有的患者均获得骨性愈合,无螺钉松动、深静脉血栓及血管神经损伤等重大并发症。[结论]对于髌骨横行关节内骨折,可使用X形锁定板加缝线环扎固定,操作简单,固定效果确切,关节活动度和功能恢复满意,为简单髌骨骨折提供了新的治疗方法。
[Abstract]:[objective] to investigate the indications and curative effect of X-shaped four-hole locking plate combined with sternal suture ring ligation in the treatment of patellar fracture. [methods] A retrospective study was conducted to observe the curative effect of low notch, X shape multifunctional plate with directional screw and suture ring ligation on 22 patients with transverse patella fracture. All patients were followed up with functional recovery, complications and imaging findings. [results] the mean operation time, fluoroscopy times, joint activity and Lysholm score at 12 months follow-up were (47.4 卤7.7) min, (1.41 卤0.6), (136.44 卤11.01) 掳and (92.33 卤2.79), respectively. The average VAS score was (0. 42 卤0. 57). The incidence of complications was 13. 6% in 1 case with joint stiffness and 2 cases with local foreign body irritation. All patients had bone healing, no screw loosening, deep venous thrombosis and vascular and nerve injury. [conclusion] for the transarticular fracture of patella, X-shaped locking plate and suture ring ligation can be used to fix the fracture. The operation is simple, the fixation effect is accurate, and the range of motion and function of the joint is satisfactory, which provides a new method for the treatment of simple patellar fracture.
【作者单位】：第二军医大学附属长征医院骨科;
【分类号】：R687.3

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