目的 探讨Krackow缝合法联合缝线桥技术治疗儿童髌骨下极骨折的临床疗效。 方法 对我院收治的9例髌骨下极骨折患儿采用Krackow缝合法联合缝线桥技术固定,术后早期行康复锻炼。观察术后并发症、骨折愈合时间及膝关节Bostman评分。 结果 所有患儿均获得随访,平均12.6月。术后无感染、内固定失败、骨折不愈合等情况发生。骨折愈合时间(3.1±0.1)月,末次随访膝关节Bostman评分(29.1±1.1)分。 结论 采用Krackow缝合法联合缝线桥技术治疗儿童髌骨下极骨折无需二次手术,在提供足够的骨折稳定性基础上便于患儿早期行膝关节功能锻炼,术后恢复良好。
Abstract
Objective To investigate the clinical efficacy of Krackow suture combined with suture bridge technique in the treatment of children's inferior patellar fracture. Methods Nine children with inferior patellar fracture admitted from January 2017 to June 2022 were treated with Krackow suture and suture bridge technology to fix the patellar inferior pole bone block. Early postoperative rehabilitation exercise were performed. The outcome measures included complications, fracture healing time, knee pain, range of motion (ROM) and Bostman score. Results All patients were followed up for an average of 12.6 months. No wound infection, internal fixation failure, nonunion of fracture occurred after operation. Fracture healing time were (3.1±0.1) months. The Bostman score of the knee joint was (29.1±1.1), and the VAS score was (0.2± 0.4). Conclusions The Krackow suture method combined with suture bridge technique in the treatment of children's inferior patellar fracture is simple in operation and reliable in fixation, which is conducive to early functional exercise and does not require secondary internal fixation. It is widely applicable to children's patellar lower pole fracture and is worthy of clinical promotion.
关键词
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髌骨 /
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撕脱骨折 /
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Krackow 缝合法 /
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骨折固定术 /
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骨折切开复位
Key words
Patella /
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Avulsion fracture /
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Krackow sewing method /
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Fracture fixation /
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Open reduction of fracture
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参考文献
[1] 马翔宇, 刘兵, 杨超, 等. 手部钢板固定系统与锚钉缝线固定治疗髌骨下极骨折的疗效比较[J]. 中华创伤骨科杂志, 2022, 24(9):799-804. DOI: 10.3760/cma.j.cn115530-20220114-00027.
[2] 张伟, 程安源, 夏平, 等. 带线锚钉"8"字缝合固定髌骨下极骨折[J]. 中国矫形外科杂志, 2022, 30(2):167-170. DOI: 10.3977/j.issn.1005-8478.2022.02.15.
[3] 林瑞新, 董伊隆, 余斌锋, 等. 带线锚钉治疗急性髌骨下极撕脱性骨折[J]. 中华骨科杂志, 2011, 31(4):331-334. DOI: 10.3760/cma.j.issn.0253-2352.2011.04.007.
[4] 耿震, 林永杰, 王国伟, 等. 带线锚钉结合髌骨爪治疗髌骨下极骨折[J]. 中国矫形外科杂志, 2019, 27(14):1330-1332. DOI: 10.3977/j.issn.1005-8478.2019.14.19.
[5] 李春江, 王保苍, 王斌, 等. 免激惹张力带技术治疗髌骨下极骨折[J]. 中华骨科杂志,2021,41(24):1776-1784. DOI: 10.3760/cma.j.cn121113- 20201224-00749.