[1]陈谱,谢杰伟,冯恩辉,等.带线锚钉联合髌胫减张带环扎治疗髌骨下极骨折的临床疗效观察[J].中国中医骨伤科杂志,2025,33(01):69-73.[doi:10.20085/j.cnki.issn1005-0205.250115]
　CHEN Pu,XIE Jiewei,FENG Enhui,et al.Clinical Observation of the Effectiveness of Suture Anchor Combined with Patella-Tibial Tension-Reducing Belt Cerclage in Treating Fractures of the Lower Pole of the Patella[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(01):69-73.[doi:10.20085/j.cnki.issn1005-0205.250115]
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带线锚钉联合髌胫减张带环扎治疗髌骨下极骨折的临床疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年01期
页码:
69-73
栏目:
临床报道
出版日期:
2025-01-15

文章信息/Info

Title:
Clinical Observation of the Effectiveness of Suture Anchor Combined with Patella-Tibial Tension-Reducing Belt Cerclage in Treating Fractures of the Lower Pole of the Patella
文章编号:
1005-0205(2025)01-0069-05
作者:
陈谱1; 谢杰伟1; 冯恩辉1; 梁家畅1; 黄伟明1; 何剑波1; 郑瑞端1; 管华1△
1广东省中医院(广州,510120)
Author(s):
CHEN Pu1; XIE Jiewei1; FENG Enhui1; LIANG Jiachang1; HUANG Weiming1; HE Jianbo1; ZHENG Ruiduan1; GUAN Hua1△
1Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China.
关键词:
髌骨下极骨折;  带线锚钉;  髌胫减张带;  内固定;  快速康复外科理念
Keywords:
fracture of the lower pole of the patella;  suture anchor;  patella-tibial tension-reducing belt;  internal fixation;  concept of rapid recovery surgery
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.250115
文献标志码:
B
摘要:
目的:探讨带线锚钉联合髌胫减张带环扎治疗髌骨下极骨折的临床疗效。方法:回顾性分析2018年1月至2023年5月用带线锚钉联合髌胫减张带环扎治疗的髌骨下极骨折患者22例,其中男9例,女13例; 年龄为29～77岁,平均为(55.82±13.22)岁。左侧髌骨下极骨折10例,右侧12例,均为闭合性骨折。所有患者均早期进行负重及膝关节活动度训练,评估患者膝关节活动度、疼痛视觉模拟量表(VAS)评分、Böstman评分和并发症情况。结果:所有患者均获得随访,术后随访时间为12～64个月,平均为(36.55±17.68)个月。术后所有切口均Ⅰ期愈合,无骨折移位、骨折不愈合、膝关节伸直受限等并发症。术后X线检查结果显示骨折愈合良好。末次随访时患侧膝关节活动度及Insall-Salvati指数与健侧相比差异无统计学意义(P>0.05); 术后Böstman评分为(28.05±1.66)分,其中优15例,良7例,差0例,优良率为100%。结论:带线锚钉联合髌胫减张带环扎可以有效固定髌骨下极骨折,允许早期进行功能锻炼,膝关节功能恢复满意,是一种安全有效的治疗方法。
Abstract:
Objective:To investigate the clinical efficacy of suture anchor combined with patella-tibial tension-reducing belt cerclage in treating fractures of the lower pole of the patella.Methods:A retrospective analysis was conducted on 22 patients with fractures of the lower pole of the patella treated with suture anchor combined with patella-tibial tension-reducing belt cerclage from January 2018 to May 2023.Among them,there were 9 males and 13 females,with an average age of(55.82±13.22)years old(range 2977 years old).There were 10 cases of left patella lower pole fractures and 12 cases of right,all of which were closed fractures.All patients underwent early weight-bearing and knee range of motion exercises.The knee range of motion,visual analogue scale(VAS)for pain,Böstman score,and complications were evaluated.Results:All patients were followed up for 12 to 64 months,with an average follow-up time of(36.55±17.68)months.All incisions healed in stage Ⅰ after surgery,with no complications such as fracture displacement,nonunion,or limited knee extension.Postoperative X-ray results showed good fracture healing.At the final follow-up,there was no significant difference in knee range of motion and Insall-Salvati index between the affected side and the healthy side.The postoperative Böstman score was(28.05±1.66)points,with 15 excellent cases,7 good cases,and 0 poor case,achieving a 100% excellent and good rate.Conclusion:The combination of suture anchor and patella-tibial tension-reducing belt cerclage can effectively fix fractures of the lower pole of the patella,allowing early functional exercises and satisfactory recovery of knee function.It is a safe and effective treatment method.

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备注/Memo

备注/Memo:
基金项目:广东省软科学研究计划项目(2020A1414040031)
广东省中医院中医药科学技术研究拔尖人才专项项目(BJ2022YL13)
2023年度广州市基础与应用基础研究专题项目(2023A04J0462)
广东省中医院中医药科学技术研究专项资助项目(YN2023QN08)
△通信作者 E-mail:loprc@163.com
更新日期/Last Update: 2025-01-15