CAJ | 학술논문

目的：探讨关节镜监视结合C臂透视下闭合复位经皮空心拉力螺钉固定治疗髌骨骨折的临床疗效。方法：选择2011年11月～2013年6月间本院骨科收治的横行、斜行、纵行髌骨骨折患者共30例，在关节镜监视及C臂透视下闭合复位经皮空心拉力螺钉内固定。结果：30例患者均进行了5～24个月的随访，平均14．5个月。根据骨折临床愈合标准，本组病例中所有骨折均已愈合，愈合时间为9～12周，平均愈合时间为10周。术后评估膝关节功能，参照HSS膝关节综合评价标准，其中优24例，良4例，可2例，优良率达93．3％。结论：关节镜监视结合C臂透视下闭合复位经皮空心拉力螺钉固定治疗髌骨骨折是一种微创手术，具有手术创伤小，术后恢复快，对膝关节生理干扰小，功能锻炼时间早，手术并发症少等优点。对于横行、斜行、纵行髌骨骨折患者，此项技术是较好的一种治疗方法。
목적：탐토관절경감시결합C비투시하폐합복위경피공심랍력라정고정치료빈골골절적림상료효。방법：선택2011년11월～2013년6월간본원골과수치적횡행、사행、종행빈골골절환자공30례，재관절경감시급C비투시하폐합복위경피공심랍력라정내고정。결과：30례환자균진행료5～24개월적수방，평균14．5개월。근거골절림상유합표준，본조병례중소유골절균이유합，유합시간위9～12주，평균유합시간위10주。술후평고슬관절공능，삼조HSS슬관절종합평개표준，기중우24례，량4례，가2례，우량솔체93．3％。결론：관절경감시결합C비투시하폐합복위경피공심랍력라정고정치료빈골골절시일충미창수술，구유수술창상소，술후회복쾌，대슬관절생리간우소，공능단련시간조，수술병발증소등우점。대우횡행、사행、종행빈골골절환자，차항기술시교호적일충치료방법。
Objective:arthroscopy combined with the C-arm fluoroscopy clinical efficacy of closed reduction and percutaneous cannu-lated screw fixation of the patella fracture.Method s: Choose between November 2011 -June 2013 rampage admitted to hospital orthope-dics, oblique, longitudinal patella fracture patients were 30 cases.Closed reduction and percutaneous cannulated screw inside under ar-throscopy and C-arm fluoroscopy fixed .Results:30 patients underwent a 5 to 24 -month follow-up, an average of 14.5 months.Ac-cording to the standard fracture healing , this group of patients , all fractures were healed 9 to 12 weeks , the average healing time of 10 weeks.Postoperative assessment of knee function , referring to the HSS knee comprehensive evaluation criteria, including excellent in 24 cases, good in 4 cases, 2 cases , good rate of 93.3%.Conclusion:arthroscopy combined with the C-arm fluoroscopy closed reduction and percutaneous cannulated screw fixation of the patella fracture was a minimally invasive surgery , a small surgical trauma , faster recov-ery , smaller knee physiological disturbances , functional exercise earlier , fewer complications and so on.For transverse , oblique lines , vertical lines patella fracture patients , this technology might be a better method of treatment .