丝线U形缝合联合钢丝环扎加8字张力带治疗髌骨下极骨折疗效分析

目的探讨丝线U形缝合联合钢丝环扎加8字张力带治疗髌骨下极骨折的临床疗效。方法丝线U形缝合联合钢丝环扎加8字张力带治疗髌骨下极骨折29例,同时选择30例应用钢丝环扎加8字张力带手术的患者作为对照,术后石膏外固定,2～6周后评价两种手术方法疗效。结果术后所有患者均获得随访,随访24～72周,平均36周,骨折全部愈合,丝线U形缝合联合钢丝环扎加8字张力带组优良率达93.10%,钢丝环扎加8字张力带组优良率为73.33%,两组疗效比较,有统计学意义(P<0.05)。结论丝线U形缝合联合钢丝环扎加8字张力带治疗髌骨下极骨折疗效满意,值得在临床推广。

Surgical Treatment of Inferior Polar Fracture of Patella by U-Silk Suture Combined With Circular Wire Fixation And 8-Shaped Tension Band Fixation

Objective To investigate the clinical efficacy of surgical treatment of inferior polar fracture of patella by U-silk suture combined with circular wire fixation and 8-shaped tension band fixation.Methods The treatment group consisted of 29 patients,who were treated by U-silk suture in conjunction with circular wire fixation and 8-shaped tension band fixation.The control group consisted of 30 patients,who were treated by circular wire fixation and 8-shaped tension band fixation.Both were given plaster fixation and evaluated for clinical efficacy 2 to 6 weeks after surgical treatment.Results Both groups were followed up for 24 to 72 weeks after surgery,with an average of 36 weeks.All fractures healed and the excellent rate was 93.10% and 73.33% in the treatment group and control group respectively.There was significant difference in curative effect between the two groups(P﹤0.05).Conclusions The method of "U" silk suture combined with circular wire fixation and "8" tension band fixation is effective for inferior polar fracture of patella and feasible in clinical application.