摘要
目的比较克氏针钢丝与髌骨针钛缆张力带固定治疗髌骨骨折的疗效。方法将128例髌骨骨折患者按固定方式分为A组(克氏针钢丝张力带固定,65例)和B组(髌骨针钛缆张力带固定,63例)。比较两组住院费用、住院天数、并发症发生率以及关节功能优良率。结果患者均获得随访,时间12~24个月。两组住院费用、住院天数、并发症发生率比较差异均有统计学意义(P<0.05)。两组关节功能优良率比较差异无统计学意义(P>0.05)。结论克氏针钢丝张力带固定术后并发症发生率较高,但关节功能优良率与髌骨针钛缆张力带固定比较无明显差异,且具有缩短住院时间、降低住院费用等优点。
Objective To compare the effect of Kirschner wire-steel wire tension band fixation and patellar needle-titanium cable tension band fixation in the treatment of patellar fracture.Methods The 128 patients with patellar fractures were divided into group A(65 cases were treated with Kirschner wire-steel wire tension band fixation)and group B(63 cases were treated with patellar needle-titanium cable tension band fixation).The cost of hospitalization,hospitalization time,incidence rate of complications and excellent-good rate of joint function were compared between two groups.Results All patients were followed up for 12~24 months.There were significant differences in hospitalization expenses,hospitalization time and incidence rate of complications between the two groups(P<0.05).However,there was no significant difference in the excellent-good rate of joint function between the two groups(P>0.05).Conclusions The Kirschner wire-steel wire tension band fixation has higher incidence rate of postoperative complications,while there is no significant difference in the excellent-good rate of joint function between Kirschner wire-steel wire tension band fixation and patellar needle-titanium cable tension band fixation,and the former can shorten hospitalization time and reduce hospitalization costs.
作者
王春
沈新乐
陶初华
俞钰贤
史豳豳
周利均
WANG Chun;SHEN Xin-le;TAO Chu-hua;YU Yu-xian;SHI Bin-bin;ZHOU Li-jun(Dept of Orthopaedics,the First People′s Hospital of Tongxiang City,Jiaxing, Zhejiang 314500,China)
出处
《临床骨科杂志》
2020年第2期259-261,共3页
Journal of Clinical Orthopaedics
关键词
髌骨骨折
克氏针
髌骨针
钛缆
骨折固定术
patellar fractures
Kirschner wire
patellar wire
titanium cable
fracture fixation
