深浅双骨道钢丝环扎联合克氏针固定治疗髌骨下极骨折的效果

Abstract
Figure/Table
References (20)
Related Citation (0)

Download: PDF (536 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the effect of deep and shallow double bone channel wire encircling and Kirschner wire fixation on the fracture of the inferior patella. Methods From January 2015 to January 2019, 80 patients with infrapatellar fracture who were operated in the First Affiliated Hospital of Hainan Medical College were randomly divided into control group (Kirschner wire tension band fixation), observation group (based on the control group combined with deep and shallow double bone channel wire encircling fixation treatment), 40 cases in each group. The operation conditions, postoperative complication rate, operation effect, follow-up results and quality of life scores of the two groups were statistically analyzed. Results The operation time, intraoperative hemorrhage, incision length, the times of using C-arm X-ray machine, the total incidence of surgical complications, the time of starting to move to the ground, the time of complete fracture healing and the visual analogue score in the observation group were lower than those in the control group (all P ＜ 0.05). The excellent rate of operation and the scores of quality of life in the observation group were higher than those in the control group (all P ＜ 0.05). Conclusion The combination of deep and shallow double bone channel wire encircling and Kirschner wire fixation has a significant effect on the treatment of the fracture of the lower pole of patella, which can improve the surgical effect of the patients. The operation time is short, the trauma is small, the recovery is fast, the function of the knee joint is improved satisfactorily, and the quality of life of the patients after operation is improved.

Key words： Fracture of lower pole of patella Deep and shallow double bone channels Channel wire encircling Kirschner wire fixation Surgical effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YUAN Wei CHEN Yangping ZHU Hengjie PENG Lei CHENG Shaowen

Cite this article:

YUAN Wei CHEN Yangping ZHU Hengjie PENG Lei CHENG Shaowen. Effect of deep and shallow double channel wire encircling and Kirschner wire fixation on the treatment of the fracture of the inferior patella[J]. 中国医药导报, 2020, 17(18): 95-98.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I18/95

[1] 史凤之，孙国荣，吴成如，等.聚髌器治疗髌骨下极撕脱性骨折对患者术后膝关节功能的改善效果[J].解放军预防医学杂志，2018，31（6）：289-291.
[2] 杜守超，张世民.髌骨下极骨折手术治疗进展[J].国际骨科学杂志，2017，35（2）：89-91.
[3] 张钦，田玉景，丁涛，等.钢丝垂直间断缝合结合钛缆环扎固定治疗髌骨下极骨折[J].实用骨科杂志，2019，25（11）：1042-1044.
[4] 贺志亮，王德成，陈学谦，等.老年髌骨下极骨折手术治疗方法的选择[J].中国骨与关节损伤杂志，2019，29（8）：109-111.
[5] 陈羽，王树强，房雷，等.双滑轮技术结合“8”字张力带治疗髌骨下极粉碎性骨折[J].第二军医大学学报，2019，40（10）：1135-1138.
[6] 姜俊杰，陈旭，张兴林，等.髌骨下极骨折手术治疗的疗效观察[J].中国矫形外科杂志，2018，18（22）：1928-1929.
[7] Jia LI，Jin-Ke S，Chen-Lin W，et al. Manipulative reduction and percutaneous Kirschner wire internal fixation for grade Ⅳ supination-external rotation ankle fractures [J]. Zhongguo Gu Shang，2017，30（6）：499-502.
[8] 刘鹏，王强，陈志，等.滞针温针灸配合玻璃酸钠治疗膝骨关节炎疗效观察[J].上海针灸杂志，2014，33（12）：1152-1155.
[9] Oh HK，Choo SK，Kim JW，et al. Internal fixation of displaced inferior pole of the patella fractures using vertical wiring augmented with Krachow suturing [J]. Injury，2015， 46（12）：2512-2515.
[10] 杨焕友，王斌，李瑞国，等.张力带钢丝法治疗撕脱骨折型拇指掌指关节桡侧副韧带损伤[J].中华手外科杂志，2019，35（1）：40-42.
[11] 夏炎，李云龙.关节镜下经套管钢丝固定治疗胫骨髁间前棘骨折的体会[J].中华关节外科杂志：电子版，2018， 12（4）：573-576.
[12] Park HY，Yoon JO，Jeon IH，et al. A comparison of the rates of union after cancellous iliac crest bone graft and Kirschner-wire fixation in the treatment of stable and unstable scaphoid nonunion [J]. Bone Joint J，2018，23（6）：809-814.
[13] Coppa V，Dei Giudici L，Cecconi S，et al. Midshaft clavicle fractures treatment：threaded Kirschner wire versus conservative approach [J]. Strategies Trauma Limb Reconstr，2017，12（3）：1-10.
[14] 林奕鹏，岳凯，徐盈舒，等.新型可吸收空心螺钉结合不可吸收缝线张力带固定治疗髌骨骨折：与传统改良张力带的对比[J].中国组织工程研究，2019，23（22）：3506-3511.
[15] 马春涛，谭昱，肖育志，等.关节镜辅助下复位后经皮空心螺钉联合钢丝张力带内固定治疗髌骨粉碎性骨折的临床研究[J].中国医师杂志，2019，21（6）：825-829.
[16] 单宇，朱立帆，钱学峰，等.髌前“8”字环扎与克氏针张力带+环扎治疗髌骨骨折[J].临床骨科杂志，2019，28（4）：189-192.
[17] 文博.解剖型钢板和克氏针张力带钢丝应用于不同类型尺骨鹰嘴骨折的临床治疗效果分析[J].中国社区医师，2019，38（20）：69-70.
[18] Chan G，Freeman R. Intraoperative Arthrographic Assessment of Ambiguous Neck of Femur Fractures in Patients With Chronic Kidney Disease [J]. Tech Orthop，2018，33（9）：281-286.
[19] 韦健，林强祯，蓝根.克氏针张力带内固定和空心钉钢丝内固定治疗髌骨骨折患者的临床效果对比分析[J].中国伤残医学，2018，26（18）：761-763.
[20] Jiang L，Wu J，Li M，et al. Cannulated screw and Kirschner fixation for the treatment of medial and lateral malleolar epiphyseal fractures in children：a retrospective study of 36 cases [J]. J Orthop Surg Res，2019，14（1）：180-183.