| 锁边悬吊联合三道钢丝垂直固定治疗髌骨下极粉碎性骨折 |
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Received:June 30, 2020
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| 作者 | Author | 单位 | Unit | E-Mail |
| 林红明 |
LIN Hong-ming |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 孙斌 |
SUN Bin |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 张恒健 |
ZHANG Heng-jian |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 梁田子 |
LIANG Tian-zi |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 吴旭东 |
WU Xu-dong |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
695477455@qq.com |
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| 期刊信息：《中国骨伤》2022年35卷，第1期，第80-84页 |
| DOI：10.12200/j.issn.1003-0034.2022.01.016 |
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目的：探讨锁边悬吊联合三道钢丝垂直固定技术在髌骨下极粉碎性骨折中的临床应用。
方法：自2016年8月至2019年5月，采用锁边悬吊联合三道钢丝垂直固定治疗23例髌骨下极粉碎性骨折患者，其中男14例，女9例；年龄34～68（55.0±1.2）岁。术后1年，采用疼痛视觉模拟评分（visual analogue scale，VAS），膝关节屈伸活动范围评估疼痛与功能，采用Lysholm膝关节评分标准评价临床疗效。
结果：23例患者均获得随访，时间12～14（13.0±0.5）个月。1例出现钢丝尾部刺激皮肤外，其余均未出现切口感染、内固定松动、骨折移位等术后并发症。23例患者骨折均获得愈合，愈合时间10～14（12.0±1.1）周。VAS评分由术前的（7.96±0.93）分降到术后1年的（0.83±0.65）分，膝关节屈伸活动范围由术前的（20.30±8.69）°提高到术后1年的（127.39±6.55）°，Lysholm膝关节评分由术前的（18.48±4.00）分提高到术后1年的（96.09±4.91）分，差异均有统计学意义（P<0.05）。
结论：锁边悬吊联合三道钢丝垂直固定治疗髌骨下极粉碎性骨折，固定可靠，骨折愈合率高，可满足快速康复功能锻炼要求，早期临床疗效满意。 |
| [关键词]:髌骨 骨折 骨折固定术,内 |
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| Treatment of comminuted fracture of inferior pole of patella with locking suspension and vertical fixation with three steel wires |
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Abstract:
Objective: To explore the clinical application of lockedge suspension combined with three steel wires vertical fixation in comminuted fracture of inferior pole of patella.
Methods: From August 2016 to May 2019,23 patients with comminuted fracture of the lower pole of the patella,including 14 males and 9 females,were treated with lockedge suspension combined with three steel wires vertical fixation. The age ranged from 34 to 68 (55.0±1.2) years. One year after operation,the pain and function were evaluated by pain visual analogue scale(VAS) and knee flexion and extension range of motion,and the clinical efficacy was evaluated by Lysholm knee score standard.
Results: All 23 patients were followed up for 12 to 14,with a mean of(13.0±0.5) months. One patient had skin irritation by the tail of the steel wire,and the rest had no postoperative complications such as incision infection,internal fixation loosening and fracture displacement. The fractures of 23 patients were healed,and the healing time was 10 to 14 weeks with a mean of(12.0±1.1) weeks. The VAS score decreased from 7.96±0.93 before operation to 0.83±0.65 one year after operation. The range of knee flexion and extension activities increased from(20.30±8.69)° before operation to 1 year after operation(127.39±6.55) °. Lysholm knee score increased from 18.48±4.00 before operation to 96.09±4.91 one year after operation(P<0.05).
Conclusion: The treatment of comminuted fracture of the lower pole of patella by lockedge suspension combined with three steel wires vertical fixation has reliable fixation and high fracture healing rate. It can meet the requirements of rapid rehabilitation and functional exercise,and the early clinical effect is satisfactory. |
| KEYWORDS:Patella Fractures Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林红明,孙斌,张恒健,梁田子,吴旭东.锁边悬吊联合三道钢丝垂直固定治疗髌骨下极粉碎性骨折[J].中国骨伤,2022,35(1):80~84 |
| 英文格式: | LIN Hong-ming,SUN Bin,ZHANG Heng-jian,LIANG Tian-zi,WU Xu-dong.Treatment of comminuted fracture of inferior pole of patella with locking suspension and vertical fixation with three steel wires[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(1):80~84 |
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