CAJ | 학술논문

目的：临床分析前路切开复位空心钉内固定术在Hoffa骨折患者临床治疗中的近期效果。方法临床选取该院在2012年5月—2013年1月进行治疗的62例Hoffa骨折患者，分两组，其中对照组31例患者实施外侧钢板内固定治疗，观察组31例患者实施前路切开复位空心钉内固定术治疗，对其治疗后膝关节功能恢复情况进行观察分析。结果观察组患者的膝关节功能恢复优良率为77.42%，对照组患者则为61.29%，两者差异有统计学意义（P＜0.05）；观察组患者的术后并发症发生率也明显低于对照组，两者差异有统计学意义（P＜0.05）。结论 Hoffa骨折患者实施前路切开复位空心钉内固定术治疗，能够取得良好的临床治疗效果，同时改善患者的生活质量，值得在临床中推广使用。
목적：림상분석전로절개복위공심정내고정술재Hoffa골절환자림상치료중적근기효과。방법림상선취해원재2012년5월—2013년1월진행치료적62례Hoffa골절환자，분량조，기중대조조31례환자실시외측강판내고정치료，관찰조31례환자실시전로절개복위공심정내고정술치료，대기치료후슬관절공능회복정황진행관찰분석。결과관찰조환자적슬관절공능회복우량솔위77.42%，대조조환자칙위61.29%，량자차이유통계학의의（P＜0.05）；관찰조환자적술후병발증발생솔야명현저우대조조，량자차이유통계학의의（P＜0.05）。결론 Hoffa골절환자실시전로절개복위공심정내고정술치료，능구취득량호적림상치료효과，동시개선환자적생활질량，치득재림상중추엄사용。
Objective To analyze the recent clinical effect of anterior reduction and cannulated screw fixation on patients with Hof-fa fracture clinically. Methods 62 patients with Hoffa fracture treated in our hospital clinically from May 2012 to January 2013 were selected and divided into two groups. 31 cases in the control group underwent lateral plate fixation, and 31 cases in the ob-servation group underwent anterior reduction and cannulated screw fixation. The knee joint function recovery after treatment of the patients was observed and analyzed. Results The excellent and good rate of knee joint function recovery of patients in the observa-tion group was 77.42%, and that of the patients in the control group was 61.29%, the difference between the two groups was signif-icant(P<0.05); the incidence of postoperative complications of the observation group was significantly lower than that of the control group, the difference between the two groups was significant(P<0.05). Conclusion Anterior reduction and cannulated screw fixation for Hoffa fractures can obtain good clinical outcomes as well as improve the quality of life of patients, it is worth promoting in clin-ical application.