丝线内固定与张力带钢丝固定对髌骨骨折疗效的影响

The Curative Effect of Internal Fixation With Silk and Tension Band Wire Fixation in Patellar Fractures

目的探讨丝线内固定与张力带钢丝固定对髌骨骨折疗效的影响。方法选取我院收治的92例髌骨骨折患者作为研究对象,随机分为观察组和对照组,各46例,观察组实施张力带钢丝固定术,对照组给予丝线内固定术,比较手术时间、住院时间、术后10 d内疼痛视觉模拟评分(VAS),并采用Bostman髌骨骨折功能评分评价疗效。结果观察组手术时间、住院时间、VAS评分低于对照组(P<0.05);观察组的治疗有效率89.1%,高于对照组71.7%(P<0.05)。结论张力带钢丝固定治疗髌骨骨折效果较丝线内固定好,对骨折部位固定可靠,且创伤小、疼痛程度低,同时避免二次麻醉手术。

Objective To investigate the curative effect of internal fixation with silk and tension band wire fixation in patellar fractures. Methods Selected 92 patients with patellar fractures in our hospitalwere selected as the study objects, whihc were randomly divided into the observation group and the control group, 46 cases in each group. The observation group was treated by tension band wire fixation while the control group was treated by internal fixation with silk. The operation time, hospitalization time and pain visual analogue scale（VAS） in 10 days after surgery were compared. Bostman scorewas used to evaluate curative effect of two groups. Results The operation time, hospitalization time and VAS scoreof the observation group were lower than the control group（P〈0.05）, Within 6 months after surgery, the effective ratein the observation group was 89.1% higher than the control group 71.7%（P〈0.05）. Conclusion The effects of tension band wire fixation in the treatment of patellar fractures are better than those of internal fixation with silk. It is reliable in fixation of the fracture site, with small trauma and low pain degree. Meanwhile, it can prevent secondary anesthesia surgery.