PP和CP两种术式治疗髌骨粉碎性骨折的近远期疗效对比

To compare the short-term and long-term effects of PP and CP in the treatment of comminuted patella fractures

目的探究髌骨全切术(CP)和髌骨部分切除术(PP)两种术式治疗髌骨粉碎性骨折的近远期疗效。方法回顾性分析2015年4月至2017年5月河南科技大学第一附属医院收治的58例髌骨粉碎性骨折患者资料,按手术方式分为CP组(n=27)和PP组(n=31),比较术后6个月及随访3年后两组患者大腿周径、膝关节活动功能及疼痛程度。结果两组患者术后6个月及随访3年后大腿周径差异无统计学意义(P>0.05);膝关节活动功能比较差异无统计学意义(P>0.05),术后3年膝关节活动功能评分低于术后6个月,(P<0.05);VAS评分差异无统计学意义(P>0.05)。结论PP和CP两种术式治疗髌骨粉碎性骨折的近远期疗效不存在差异,两组远期随访患者术后运动功能评分较低。

Objective To explore the short-and long-term curative effects of total patella resection(CP)and partial patella resection(PP)in the treatment of comminuted patella fractures.Methods To retrospectively analyze the data of 58 patients with comminuted patella fractures admitted to The first affiliated hospital of Henan University of Science and Technology from April 2015 to May 2017.Divided into CP group(n=27)and PP group(n=31)according to the operation method.After six months of operation and three years of follow-up,the two groups of patients'thigh circumference,knee joint movement function and The degree of pain is compared.Results There was no significant difference in thigh circumference between the two groups of patients 6 months after operation and 3 years after follow-up(P>0.05).There was no significant difference in the function of knee joint movement(P>0.05),and the score of knee joint movement function at 3 years after operation was lower than that at 6 months after operation(P<0.05).There was no statistically significant difference in VAS scores(P>0.05).Conclusion There is no difference in the short-term and long-term efficacy of PP and CP in the treatment of comminuted patella fractures,and the two groups of long-term follow-up patients have lower postoperative motor function scores.