| 摘要: |
| 目的 探讨双滑轮技术结合“8”字张力带在髌骨下极粉碎性骨折治疗中的应用效果。方法 2017年1月至2018年4月，我院采用双滑轮技术结合“8”字张力带治疗了10例髌骨下极粉碎性骨折患者。10例患者中，男6例，女4例；年龄22～58岁，平均（36.4±11.4）岁；伤后至手术时间1～5 d，平均（2.8±1.1）d。致伤原因：交通事故伤6例，摔伤3例，运动创伤1例。采用Bostman髌骨骨折功能评分评价术后膝关节功能，临床评估指标包括术后Bostman髌骨骨折功能评分优良率、随访时X线片检查结果和膝关节活动度。结果 10例患者均获得随访，随访时间为16～24个月。所有患者切口均愈合良好，无膝前疼痛及其他并发症。术后6个月膝关节X线片检查示10例患者髌骨骨折均骨性愈合。术后6个月膝关节屈曲角度为132.0°±12.3°；Bostman髌骨骨折功能评分为（28.5±1.8）分，优9例、良1例，优良率为100%。结论 双滑轮技术结合“8”字张力带治疗髌骨下极粉碎性骨折复位效果好，固定可靠，术后患者可早期开始功能锻炼。 |
| 关键词: 双滑轮技术 张力带 髌骨 髌韧带 带线锚钉 髌骨下极骨折 |
| DOI：10.16781/j.0258-879x.2019.10.1135 |
| 投稿时间：2019-08-15修订日期：2019-09-25 |
| 基金项目: |
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| Double-Pulley technique combined with 8-shaped tension band for fixation of comminuted fractures of distal patellar pole |
| CHEN Yu,WANG Shu-qiang,FANG Lei,SHEN Zi-liang,XU Sheng-ming* |
(Department of Orthopaedic Surgery(Ⅰ), Shuguang Hospital, Shanghai University of Chinese Traditional Medicine, Shanghai 200120, China
*Corresponding author) |
| Abstract: |
| Objective To explore the feasibility and clinical effects of Double-Pulley technique combined with 8-shaped tension band in teatment of comminuted fractures of distal patellar pole. Methods From Jan. 2017 to Apr. 2018, 10 patients (6 males and 4 females) were treated with Double-Pulley technique combined with 8-shaped tension band in our hospital. The ages of patients ranged from 28 to 58 years old, with an average of (36.4±11.4) years old. The average time from injury to surgery was (2.8±1.1) d, ranging from 1 to 5 d. The injury cause was traffic accident in 6 cases, falling iniury in 3 cases, and sport injury in 1 case. Bostman's patellar fracture function evaluation system was used to evaluate the postoperative knee joint function. The clinical evaluation indexes included the excellent and good rate of Bostman's patellar fracture function score, and X-ray examination results and knee mobility during follow-up. Results All patients were followed up for 16 to 24 months. The incision of all patients healed well, and no anterior knee pain or complications were found. Six months after surgery, X-ray examination showed that the patellar fracture healing of 10 patients were all osteonal union. Six months after surgery, the flexion range of knee joint was 132.0°±12.3°, and Bostman's patellar fracture function score was 28.5±1.8, with the excellent and good rate being 100% (excellent in 9 cases and good in 1 case). Conclusion Double-Pulley technique combined with 8-shaped tension band is effective and reliable in the treatment of comminuted fractures of distal patellar pole, and the patients can start functional exercise early after surgery. |
| Key words: Double-Pulley technique tension band patella ligamentum patellae suture anchor fractures of distal patellar pole |
