锚钉结合钛缆治疗急性髌腱断裂的疗效

Treatment of acute patellar tendon ruptures with anchors and titanium cables

目的探讨锚钉结合钛缆张力带治疗急性髌腱断裂的疗效。方法选取2012年1月至2017年1月宁夏医科大学总医院收治的急性髌腱断裂患者23例,其中直接暴力损伤5例,运动损伤18例;男性14例,女性9例;年龄范围为21~39岁,平均(29.3±4.5)岁。回顾性分析患者术前、术后1、3、6、12个月的膝关节功能评估及影像学评价结果。膝关节功能评估采用Lysholm评分,影像学评价采用Insall-Salvati指数评分。结果患侧膝关节Lysholm评分术前为差,术后1和3个月为良,均低于健侧(P<0.01),术后6和12个月均为优,与健侧无统计学差异(P>0.01)。患侧膝关节Insall-Salvati指数术前高于健侧(P<0.01),但术后1、3、6、12个月均与健侧无统计学差异(P>0.01)。结论锚钉结合钛缆张力带手术治疗急性髌腱断裂可以获得满意的临床疗效。

Objective To evaluate the effect of anchors combined with titanium cable tension band in the treatment of acute patellar tendon rupture.Methods Twenty-three cases of acute patellar tendon rupture were admitted to General Hospital of Ningxia Medical University from January 2012 to January 2017.Five cases were caused by direct violence and eighteen cases were caused by sports injury.There were 14 males and 9 females,with an average age of 29.3±4.5 years（range,21-39 years）.The function and radiological assessment of the injured knee joints were retrospectively performed before operation and at 1,3,6 and 12 months after operation.The knee function was evaluated according to the Lysholm scores.The radiological assessment was evaluated by using the Insall-Salvati index.Results The Lysholm scores of the injured knee joints were poor before operation and good at 1 and 3 months.They were significantly lower than those of the unaffected knee joints（P〉0.01）.The Lysholm scores of the injured knee joints were excellent at 6 and 12 months;there were no significant difference between the injured and the unaffected knee joints（P〉0.01）.The Insall-Salvati index of the injured knee joints were higher than that of the unaffected knee joints before operation（P〈0.01）.However,there were no significant difference between the injured and unaffected knee joints at 1,3,6 and 12 months after operation（P〉0.01）.Conclusion The treatment of acute patellar tendon rupture with anchors combined with titanium cable tension band may achieve satisfactory clinical results.