CAJ | 학술논문

目的回顾性分析空心双头加压螺钉在 Hoffa骨折中应用的临床效果。方法本院自2004至2013年间治疗的 Hoffa骨折患者共21例，其中男13例，女8例；车祸伤15例，高处坠落伤4例，砸伤2例；按Letenneur分型I型11例，Ⅱ型6例，Ⅲ型4例；闭合性骨折15例，开放性骨折6例；全部患者均采用空心双头加压螺钉进行骨折固定，术后及时进行康复功能锻炼。结论术后随访时间6个月至3年，平均21．5个月；随访结果为所有骨折均达到骨性愈合，术中术后无血管及神经损伤、术后没有出现伤口及关节腔感染、术后无螺钉松动及断裂等并发症发生；根据Letenneur评估系统进行术后功能评估，本组患者优良18例，可2例，差1例，优良率85．7％。结论空心双头加压螺钉固定治疗 Hoffa骨折具有手术创伤小、固定可靠、术后功能恢复好的优点，是一种疗效可靠的治疗方法。
목적회고성분석공심쌍두가압라정재 Hoffa골절중응용적림상효과。방법본원자2004지2013년간치료적 Hoffa골절환자공21례，기중남13례，녀8례；차화상15례，고처추락상4례，잡상2례；안Letenneur분형I형11례，Ⅱ형6례，Ⅲ형4례；폐합성골절15례，개방성골절6례；전부환자균채용공심쌍두가압라정진행골절고정，술후급시진행강복공능단련。결론술후수방시간6개월지3년，평균21．5개월；수방결과위소유골절균체도골성유합，술중술후무혈관급신경손상、술후몰유출현상구급관절강감염、술후무라정송동급단렬등병발증발생；근거Letenneur평고계통진행술후공능평고，본조환자우량18례，가2례，차1례，우량솔85．7％。결론공심쌍두가압라정고정치료 Hoffa골절구유수술창상소、고정가고、술후공능회복호적우점，시일충료효가고적치료방법。
[Objective] Hollow double compression screw fixation were retrospectively analyzed the clinical effect of treatment of Hoffa fractures .[Methods] From 2004 to 2013 ,a total of 21 Hoffa fracture patients were recruited .There were 13 males and 8 females .And the causes were traffic accident ( n=15) ,high fall‐ing ( n=4) and crush injury ( n=2) .According to the Letenneur scheme ,the types were Ⅰ( n=11) ,Ⅱ( n=6) and Ⅲ ( n =4) .And the fractures were closed ( n=15) and open ( n=6) .Double hollow compression screw was applied for fracture fixation .And postoperative rehabilitation exercise was implemented in a timely manner .[Results] The average follow‐up period was 21 .5 (6~36) months .During follow‐ups ,osseous heal‐ing was achieved without perioperative vascular or nerve injury ,wound infection ,screw loosening or rupture . Postoperative function assessments were based on Letenneur system .And the outcomes were excellent ( n =18) ,fair ( n =2) and poor ( n =1) .And the excellent rate was 85 .7% .[Conclusion]Hollow double com‐pression screw is efficacious for Hoffa fractures .And it offers the advantages of mini‐invasiveness ,reliable fix‐ation and quick recovery of postoperative functions .