缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折的效果

胡金龙; 王骅; 王静成; 陈鹏涛

doi:10.7619/jcmp.201923029

缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折的效果

Effect of suture anchors combined with Krackowsuture in treating the extremely comminuted fracture of middle and inferior patella

摘要

摘要:
目的探讨缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折的临床疗效。
方法回顾性分析29例应用缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折患者的临床资料，记录术后治疗效果、骨折愈合情况、手术时间及Lysholm膝关节评分等临床资料。
结果所有患者均完成随访，平均随访时间(23.97±15.54)个月，手术切口均Ⅰ期愈合，无锚钉松动，未见感染、软组织激惹及骨折不愈合、延迟愈合等并发症，平均手术时间(79.70±13.79) min。术后3个月，本组患者骨折均达到基本骨性愈合，平均Lysholm膝关节评分(90.76±6.42)分，优良率为86.21%。
结论缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折可以获得良好的临床疗效。

Abstract:
Objective To investigate the clinical effects of suture anchors combined with krackow suture in treating extremely comminuted fracture of middle and inferior patella.
Methods The clinical data of 29 patients treated by suture anchors combined with krackow suture for extremely comminuted fracture of middle and inferior patella were retrospectively collected in this study. Post-treatment outcomes, fracture union, surgical time and Lysholm keen score were analyzed.
Results All the 29 patients were followed up successfully, with an average of (23.97±15.54) months, and average operation time was (79.70±13.79) min. All the incisions achieved primary healing, there was no case of incision infection, soft tissue irritation from implant, anchor loosening, delayed union, and nonunion. All patients achieved bone healing at 3 months after surgery, the mean Lysholm keen score was (90.76±6.42) points and the excellent and good rate was 86.21%.
Conclusion Suture anchor combined with krackow suture for extremely comminuted fracture of middle and inferior patella can achieve favorable clinical efficacy.

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