克氏针张力带钢缆与解剖钢板内固定应用于尺骨鹰嘴骨折临床治疗中疗效分析

Analysis of Curative Effect of Clinical Treatment of Olecranon Fractures with Kirschner Wire Tension Strip Cable and Anatomical Plate Internal Fixation

目的探讨克氏针张力带钢缆与解剖钢板内固定治疗尺骨鹰嘴骨折的疗效差异,为临床应用提供参考依据。方法选取该院2015年1月—2017年10月所收治尺骨鹰嘴骨折患者60例,随机分为解剖钢板组和钢缆组。解剖钢板组30例,予以解剖钢板内固定术;钢缆组30例,予以克氏针张力带钢缆内固术。比较两组临床表现差异,并随访6个月,比较两组患者肘关节功能恢复情况。结果解剖钢板组患者中,手术时间为(76.13±5.39)min、术中出血量为(93.12±10.25)mL、术后住院时间为(10.26±1.95)d,均显著高于钢缆组,差异有统计学意义(t=8.492,4.004,3.794,P<0.05)。两组Ⅰ型、Ⅱ型患者肘关节功能评分差异无统计学意义(P>0.05);解剖钢板组患者中,Ⅲ型骨折患者肘关节功能评分为(82.19±9.15)分,显著高于钢缆组患者的(70.45±9.26)分,差异有统计学意义(t=4.939,P<0.05)。结论对Ⅰ型、Ⅱ型尺骨鹰嘴骨折患者而言,克氏针张力带钢缆内固定术肘关节功恢复良好,且临床表现更好;对于Ⅲ型骨折患者而言,解剖型钢板固定效果更好,安全可靠。

Objective To investigate the differences in curative effect between Kirschner wire tensioning strip cable and anatomic plate internal fixation in the treatment of olecranon fractures and provide reference for clinical application. Methods A total of 60 patients with olecranon fractures treated in the hospital from January 2015 to October 2017 were randomly divided into an anatomical plate group and a wire cable group. Anatomic plate group of 30 cases, anatomical plate internal fixation; 30 cases of wire rope group, Kirschner wire tension band steel wire internal fixation. The clinical manifestations of the two groups were compared and followed up for 6 months. The recovery of elbow function was compared between the two groups. Results In the anatomic plate group, the operation time was （76.13±5.39） min, the intraoperative blood loss was （93.12±10.25）mL, and the postoperative hospital stay was （10.26±1.95） d, which was significantly higher than the wire cable group, respectively, and the difference was statistically significant （t=8.492, 4.004,3.794,P〈0.05）. There was no significant difference in elbow function score between the two groups （P〉0.05）. In the anatomic plate group, the elbow function score was （82.19±9.15） points, which was significantly higher than that of the steel cable group （70.45±9.26） points, the difference was statistically significant （t=4.939,P〈0.05）. Conclusion For patients with type I and type II olecranon fractures, Kirschner wire tension band-clamped internal fixation of the elbow joint is well restored with better clinical performance; for patients with type III fractures, anatomical plate fixation, the effect is better, safe and reliable.