手术内固定治疗Hoffa骨折的临床疗效和安全性分析

Analysis of clinical efficacy and safety of operation internal fixation for the treatment of Hoffa fracture

目的:探讨手术内固定治疗Hoffa骨折的临床疗效及安全性。方法:2011年6月-2013年6月收治Hoffa骨折患者36例,采取手术内固定予以治疗,比较分析临床疗效。结果:36例Hoffa骨折患者平均手术时间(53.21±1.14)分钟,平均失血量(156.32±2.03)ml,所有患者术后均未出现切口感染及断钉等并发症。术后3个月随访Letenneur膝关节功能评价结果:优12例,良9例,可12例,差3例,优良率58.33%;术后9个月随访Letenneur膝关节功能评价结果:优18例,良11例,可7例,优良率80.57%,优良率比较差异具有统计学意义(P<0.05)。术后1年X线片显示骨折愈合良好,未出现螺钉松动及断裂等情况。结论:采用手术内固定治疗Hoffa骨折能很好地促进骨折愈合,疗效显著且安全性高。

Objective:To explore the clinical efficacy and safety of operation internal fixation for the treatment of Hoffa fracture.Methods:36 cases with Hoffa fracture were selected from June 2011 to June 2013.They were treated with internal fixation operation.We compared and analyzed the clinical efficacy.Results:In 36 cases of Hoffa fracture patients,the average operation time was(53.21±1.14)minutes.The mean blood loss was(156.32±2.03)ml.There was no cases of postoperative incision infection and broken nails and other complications.After 3 months of follow-up,the Letenneur knee function evaluation:12 cases were excellent,9 cases were good,12 cases were moderate,3 cases were poor,the excellent and good rate was 58.33%.After 9 months of follow-up,the Letenneur knee function evaluation:18 cases were excellent,11 cases were good,7 cases were moderate,the excellent and good rate was 80.57%.The excellent and good rate had significant difference with statistical significance(P<0.05).A year after the operation,the X-ray films showed fracture healing was good.There was no screw loosening and fracture and so on.Conclusion:The application of operation internal fixation for the treatment of Hoffa fracture can be very good to promote fracture healing.The effect is significant.The security is high.