评价关节镜下钢丝与空心螺钉固定治疗胫骨髁间棘骨折的临床价值

Evaluation of the Clinical Value of Arthroscopic Wire and Hollow Screw Fixation for Tibial Intercondylar Spine Fractures

目的研究胫骨髁间棘骨折患者就诊期间,关节镜下钢丝与空心螺钉固定治疗的应用效果。方法选择2022年2月—2023年2月山东健康集团枣庄医院收治的84例胫骨髁间棘骨折患者为研究对象,根据随机数表法分为两组,每组42例,参照组采用关节镜下空心螺钉固定治疗,研究组采用关节镜下钢丝固定治疗,比较两组临床价值。结果治疗前、后两组患者Lysholm评分、Tegner运动评分比较,差异无统计学意义(P均>0.05)。研究组手术时间(76.25±8.45)min和住院天数(10.79±1.52)d短于参照组(97.89±10.39)min、(11.89±1.05)d,研究组住院费用(8852.69±269.85)元低于参照组(11256.63±333.85)元,差异有统计学意义(t=10.471、3.858、32.292,P均<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论关节镜下钢丝与空心螺钉固定治疗胫骨髁间棘骨折均具有显著疗效,但关节镜下钢丝固定治疗的手术时间短。

Objective To study the application effect of arthroscopic wire and hollow screw fixation in the treatment of tibial intercondylar spine fracture during the consultation of patients.Methods A total of 84 patients with tibial inter⁃condyle spine fracture admitted to Shandong Health Group Zaozhuang Hospital from February 2022 to February 2023 were selected as the study objects.They were divided into two groups according to random number table method,with 42 cases in each group.The reference group was treated with arthroscopic hollow screw fixation,and the study group was treated with arthroscopic wire fixation.The clinical value of the two groups was compared.Results There was no significant difference in Lysholm score and Tegner exercise score between the two groups before and after treatment(both P>0.05).Operation time(76.25±8.45)min and hospital stay(10.79±1.52)d in the study group were shorter than those in the control group(97.89±10.39)min and(11.89±1.05)d.The hospitalization cost in the study group(8852.69±269.85)yuan was lower than that in the reference group(11256.63±333.85)yuan,and the differences were statistically significant(t=10.471,3.858,32.292,all P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Arthroscopic wire and hollow screw fixation both have significant effi⁃cacy in the treatment of tibial intercondylar spine fracture,but arthroscopic wire fixation has a short operative time.