聚髌器与张力带治疗髌骨骨折的临床效果观察(1)
【摘要】 目的：研究聚髌器与张力带治疗髌骨骨折的临床效果。方法：选取笔者所在医院于2016年1月-2018年1月收治的94例髌骨骨折患者，随机分为两组，各47例。对照组采用张力带内固定治疗，观察组采用镍钛聚髌器治疗，观察两组治疗效果。结果：观察组优良率为89.4%，高于对照组的70.2%(P<0.05)。治疗后，观察组HSS评分、SF-36量表评分均高于对照组(P<0.05)。观察组手术时间、愈合时间、住院时间均短于对照组(P<0.05)。观察组并发症发生率(8.5%)低于对照组(23.4%)，差异有统计学意义(P<0.05)。结论：髌骨骨折患者采用镍钛聚髌器治疗可提高治疗效果，促进关节功能恢复，提高生活质量，术后并发症少，值得临床推广应用。
【关键词】 髌骨骨折; 镍钛聚髌器; 张力带内固定; 疗效
doi：10.14033/j.cnki.cfmr.2019.24.065 文献标识码 B 文章编号 1674-6805(2019)24-0-03
【Abstract】 Objective：To study the clinical effect of patellar concentrator and tension band in the treatment of patella fracture.Method：A total of 94 patients with patella fracture admitted to our hospital from January 2016 to January 2018 were selected and randomly divided into two groups，47 patients in each group.The control group was treated with tension band internal fixation，and the observation group was treated with nickel-titanium patellar concentrator.Observed the therapeutic effect of two groups.Result：The excellent and good rate in the observation group was 89.4%，which was higher than that of 70.2% in the control group(P<0.05).After treatment，HSS score and SF-36 scale score in the observation group were higher than those of the control group(P<0.05).The operation time，healing time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The incidence of complications in the observation group(8.5%) was lower than 23.4% of the control group (P<0.05).Conclusion：Nickel-titanium patellar concentrator can improve the treatment effect，promote the recovery of joint function，improve the quality of life，and reduce postoperative complications in patients with patellar fracture，which is worthy of clinical application.
【Key words】 Patella fracture; Nickel-titanium patellar concentrator; Tension band internal fixation; Curative effect
First-author’s address：Second Hospital of Longyan City，Longyan 364200，China
髕骨可维持膝关节的各种运动及协调性、稳定性，保护骨骼，提升股四头肌的力量，是膝关节最为重要的骨骼[1]。近年来，随着高能复合伤的不断增多，导致髌骨骨折的发生率也持续增高。本研究选取94例髌骨骨折患者，分别采用聚髌器与张力带两种治疗方法进行比较分析，具体内容如下。
1 资料与方法
1.1 一般资料
选取2016年1月-2018年1月于笔者所在医院接受手术治疗的髌骨骨折患者94例。纳入标准：(1)通过X线或CT检查后，确诊94例患者为髌骨骨折，且为单侧髌骨骨折;(2)年龄18～65岁;(3)RockwoodⅡ型髌骨骨折;(4)无既往手术史。排除标准：(1)合并类风湿关节炎、膝关节骨质增生、其他部位骨折;(2)病理性、陈旧性骨折;(3)不配合手术治疗。按照随机分组法分成两组，对照组47例，男27例，女20例;年龄18～64例，平均(37.24±8.67)岁;受伤时间1～6 d，平均(3.08±1.39)d;骨折类型：斜型骨折18例，横断骨折23例，纵型骨折3例，粉碎性骨折3例。观察组47例，男25例，女22例;年龄19～65例，平均(37.63±8.17)岁;受伤时间1～6 d，平均(3.13±1.32)d;骨折类型：斜型骨折16例，横断骨折24例，纵型骨折2例，粉碎性骨折5例。两组一般资料对比，差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(林建)
【关键词】 髌骨骨折; 镍钛聚髌器; 张力带内固定; 疗效
doi：10.14033/j.cnki.cfmr.2019.24.065 文献标识码 B 文章编号 1674-6805(2019)24-0-03
【Abstract】 Objective：To study the clinical effect of patellar concentrator and tension band in the treatment of patella fracture.Method：A total of 94 patients with patella fracture admitted to our hospital from January 2016 to January 2018 were selected and randomly divided into two groups，47 patients in each group.The control group was treated with tension band internal fixation，and the observation group was treated with nickel-titanium patellar concentrator.Observed the therapeutic effect of two groups.Result：The excellent and good rate in the observation group was 89.4%，which was higher than that of 70.2% in the control group(P<0.05).After treatment，HSS score and SF-36 scale score in the observation group were higher than those of the control group(P<0.05).The operation time，healing time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The incidence of complications in the observation group(8.5%) was lower than 23.4% of the control group (P<0.05).Conclusion：Nickel-titanium patellar concentrator can improve the treatment effect，promote the recovery of joint function，improve the quality of life，and reduce postoperative complications in patients with patellar fracture，which is worthy of clinical application.
【Key words】 Patella fracture; Nickel-titanium patellar concentrator; Tension band internal fixation; Curative effect
First-author’s address：Second Hospital of Longyan City，Longyan 364200，China
髕骨可维持膝关节的各种运动及协调性、稳定性，保护骨骼，提升股四头肌的力量，是膝关节最为重要的骨骼[1]。近年来，随着高能复合伤的不断增多，导致髌骨骨折的发生率也持续增高。本研究选取94例髌骨骨折患者，分别采用聚髌器与张力带两种治疗方法进行比较分析，具体内容如下。
1 资料与方法
1.1 一般资料
选取2016年1月-2018年1月于笔者所在医院接受手术治疗的髌骨骨折患者94例。纳入标准：(1)通过X线或CT检查后，确诊94例患者为髌骨骨折，且为单侧髌骨骨折;(2)年龄18～65岁;(3)RockwoodⅡ型髌骨骨折;(4)无既往手术史。排除标准：(1)合并类风湿关节炎、膝关节骨质增生、其他部位骨折;(2)病理性、陈旧性骨折;(3)不配合手术治疗。按照随机分组法分成两组，对照组47例，男27例，女20例;年龄18～64例，平均(37.24±8.67)岁;受伤时间1～6 d，平均(3.08±1.39)d;骨折类型：斜型骨折18例，横断骨折23例，纵型骨折3例，粉碎性骨折3例。观察组47例，男25例，女22例;年龄19～65例，平均(37.63±8.17)岁;受伤时间1～6 d，平均(3.13±1.32)d;骨折类型：斜型骨折16例，横断骨折24例，纵型骨折2例，粉碎性骨折5例。两组一般资料对比，差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(林建)