重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
24期
3345-3347
,共3页
杜元良%肖天洁%徐丛%吕永明%贾立军%徐昆%徐飞%张立超
杜元良%肖天潔%徐叢%呂永明%賈立軍%徐昆%徐飛%張立超
두원량%초천길%서총%려영명%가립군%서곤%서비%장립초
关节镜%骨折%髌骨%无头加压螺钉
關節鏡%骨摺%髕骨%無頭加壓螺釘
관절경%골절%빈골%무두가압라정
arthroscope%racture%patella%headless compression screw
目的:探讨关节镜下采用无头加压螺钉(HCS)固定治疗髌骨横型骨折的临床疗效。方法选择髌骨橫型骨折患者19例,采用关节镜辅助下无头加压螺钉固定治疗,术后复查并随访。结果术后3~5周行 X 线片骨折线模糊或消失,髌骨关节面平整无位移,术后骨折愈合时间平均8周;患侧膝末次膝关节活动范围[(135.42±5.82)°]与健侧活动范围[(139.38±6.55)°]差异无统计学意义(P >0.05)。末次随访膝关节 Lysholm 评分86~100分,平均(93.7±4.14)分,显著高于术前评分65.7分(P <0.05);随访期内无骨折移位,内固定物脱落、断裂等并发症。结论关节镜辅助下 HCS 固定治疗髌骨横行骨折,关节功能恢复快,且术后并发症少,是治疗髌骨橫型骨折的有效方法之一。
目的:探討關節鏡下採用無頭加壓螺釘(HCS)固定治療髕骨橫型骨摺的臨床療效。方法選擇髕骨橫型骨摺患者19例,採用關節鏡輔助下無頭加壓螺釘固定治療,術後複查併隨訪。結果術後3~5週行 X 線片骨摺線模糊或消失,髕骨關節麵平整無位移,術後骨摺愈閤時間平均8週;患側膝末次膝關節活動範圍[(135.42±5.82)°]與健側活動範圍[(139.38±6.55)°]差異無統計學意義(P >0.05)。末次隨訪膝關節 Lysholm 評分86~100分,平均(93.7±4.14)分,顯著高于術前評分65.7分(P <0.05);隨訪期內無骨摺移位,內固定物脫落、斷裂等併髮癥。結論關節鏡輔助下 HCS 固定治療髕骨橫行骨摺,關節功能恢複快,且術後併髮癥少,是治療髕骨橫型骨摺的有效方法之一。
목적:탐토관절경하채용무두가압라정(HCS)고정치료빈골횡형골절적림상료효。방법선택빈골횡형골절환자19례,채용관절경보조하무두가압라정고정치료,술후복사병수방。결과술후3~5주행 X 선편골절선모호혹소실,빈골관절면평정무위이,술후골절유합시간평균8주;환측슬말차슬관절활동범위[(135.42±5.82)°]여건측활동범위[(139.38±6.55)°]차이무통계학의의(P >0.05)。말차수방슬관절 Lysholm 평분86~100분,평균(93.7±4.14)분,현저고우술전평분65.7분(P <0.05);수방기내무골절이위,내고정물탈락、단렬등병발증。결론관절경보조하 HCS 고정치료빈골횡행골절,관절공능회복쾌,차술후병발증소,시치료빈골횡형골절적유효방법지일。
Objective To observe the clinical effect of headless compression Screw (HCS)under arthroscope in the treat-ment of patella fracture.Methods Nineteen patients of patella transverse fractures were selected,all of them were treated with HCS fixation under arthroscope,reviewed and followed-up after surgery.Results X-ray examination after surgery of 3 -5 weeks found that the fracture lines blurred or disappeared,and the patella articular surface was smooth without displacement.The healing time of fracture was 8 weeks on average after operation;There was no statistical difference in the range of the knee joint in the af-fected side in (135.42±5.82)°and the contralateral side in (139.38±6.55)°(P >0.05);The knee Lysholm score of the last follow-up was 86-100 points[(93.7±4.14)points],which was significantly higher than the preoperative score of 65.7 (P <0.05);There was no fracture displacement in the period of followed-up,drop of internal fixator,fracture and other complications.Conclusion HCS fixation under arthroscope in treatment of patella fracture is effective.The joint function recovered quickly with less complica-tion.It could be one of the effective methods for the treatment of patella transverse fracture.