CAJ | 학술논문

目的：探讨膝关节镜辅助下经皮穿刺克氏针张力带固定技术治疗单纯髌骨骨折的临床疗效。方法对2011年1月～2014年2月收治的单纯髌骨骨折69例，随机分为两组，处理微创组38例，男性24例，女性14例；年龄19～65岁，平均（31.4±0.3）岁。对照组31例，男性17例，女性14例；年龄18～61岁，平均（30.3±0.2）岁。处理微创组采用关节镜辅助下经皮穿刺克氏针张力带内固定术治疗，对照组为传统手术开放复位，比较两组住院时间、手术时间、愈合时间、关节功能评分。结果经半年以上随访，处理微创组平均住院时间和骨折愈合时间均低于对照组（P＜0.01），处理微创组膝关节功能优于对照组（P＜0.05）。结论膝关节镜辅助下经皮穿刺克氏针张力带固定术治疗单纯髌骨骨折固定牢固，创伤小，恢复快，能同时探查和处理膝关节其他损伤，值得临床推广。
목적：탐토슬관절경보조하경피천자극씨침장력대고정기술치료단순빈골골절적림상료효。방법대2011년1월～2014년2월수치적단순빈골골절69례，수궤분위량조，처리미창조38례，남성24례，녀성14례；년령19～65세，평균（31.4±0.3）세。대조조31례，남성17례，녀성14례；년령18～61세，평균（30.3±0.2）세。처리미창조채용관절경보조하경피천자극씨침장력대내고정술치료，대조조위전통수술개방복위，비교량조주원시간、수술시간、유합시간、관절공능평분。결과경반년이상수방，처리미창조평균주원시간화골절유합시간균저우대조조（P＜0.01），처리미창조슬관절공능우우대조조（P＜0.05）。결론슬관절경보조하경피천자극씨침장력대고정술치료단순빈골골절고정뢰고，창상소，회복쾌，능동시탐사화처리슬관절기타손상，치득림상추엄。
Objective To observe the effect of simple patella fracture patients treated by skin tension belt under arthroscopes.Methods Totally 69 cases of simple patella fracture from Jan.2011 to Feb.2014 were separa-ted into 2 groups.Thirty-eight cases in the experiment group were treated by skin tension belt under arthroscopes and 31 cases in the control group received routine open operation.In the experiment group,24 were male and 13 were female with an average age of (31.4 ±0.3)years (19-65 year).In the control group,17 were male and 14 were female with an average age of (30.3 ±0.2)years (18-61 year).The hospitalization time,operation time,heal-ing time and joint function score were compared between the two groups.Results After follow-ups of more than half a year,the hospital stay and healing time in the experiment group were significantly less than those in the control group( P<0.01) .The knee function in the experiment group was significantly better than that in the control group ( P<0.05) .Conclusion Skin tension belt under arthroscopes for the treatment of simple patella fracture patients is worthy of wide clinical promotion for having advantages as less invasion,stable fixation,quick function recovery as well as exploration and management of combined injuries at the same time.