带线锚钉与髌骨下极切除法治疗髌骨下极撕脱性骨折的疗效对比分析

Comparative Analysis of Curative Effect of Line Anchor Nailing and Resection under Extremely Patella in Treatment of Avulsion Fracture under Extremely Patella

目的对比分析髌骨下极撕脱性骨折行带线锚钉固定治疗与髌骨下极切除法治疗的疗效。方法整群选取2013年3月—2015年3月该科收治的56例髌骨下极撕脱性骨折患者为研究对象,根据患者所采用的治疗方法将其分为对照组26例(采用髌骨下极切除法治疗),观察组30例(采用带线锚钉固定治疗),术后均随访1年,对比观察两组患者术后膝关节功能与手术并发症发生率。结果观察组患者膝关节功能评分(27.6±2.4)分,显著高于对照组(23.8±2.5)分,差异有统计学意义(P<0.05);观察组膝关节功能优良率为100.0%,显著高于对照组膝关节功能优良率80.77%,差异有统计学意义(P<0.05)。结论对髌骨下极撕脱性骨折实施带线锚钉固定治疗,其疗效显著优于传统髌骨下极切除法,并且创伤更小,术后膝关节功能恢复良好,可降低术后并发症的发生,无需进行二次手术,具有显著的临床推广应用价值。

Objective To comparatively analyze the curative effect of line anchor nailing and resection under extremely patella in treatment of avulsion fracture under extremely patella. Methods 56 cases of patients with avulsion fracture under extremely patella admitted and treated in the department of orthopedics and traumatology from March 2013 to March 2015 were selected as the research objects and divided into two groups according to the treatment method, the control group（26cases） were treated with resection under extremely patella, the observation group（30 cases） were treated with line anchor nailing fixation, both groups were followed up for 1 year after operation, and the postoperative knee function and incidence rate of operative complications of the two groups were compared and observed. Results The knee function score in the observation group was obviously higher than that in the control group, [（27.6±2.4） marks vs（23.8±2.5） marks], and the difference had statistical significance, P〈0.05; the excellent and good rate of knee function was obviously higher than that in the control group,（100.0% vs 80.77%）, and the difference had statistical significance, P〈0.05. Conclusion The curative effect of line anchor nailing fixation in treatment of avulsion fracture under extremely patella is better than that of the traditional resection under extremely patella with smaller trauma, and the recovery of postoperative knee function is good, which can reduce the occurrence of postoperative complications without the second operation and it is of obvious clinical promotion and application value.