陈远华

【摘要】 目的：探究对髌骨骨折患者实施关节镜下微创克氏针张力带内固定治疗联合下肢反馈训练的效果。方法：随机将2016年3月-2019年3月笔者所在医院收治的76例髌骨骨折患者分为对照组（38例，应用关节镜下微创克氏针张力带内固定治疗）、试验组（38例，在对照组基础上应用下肢反馈训练）。均随访3个月，对比两组骨折愈合时间、膝关节活动度、膝关节功能评分、Barthel指数量表评分、生活质量评分及康复优良率。结果：试验组治疗后膝关节活动度、膝关节功能评分均高于对照组，差异均有统计学意义（P<0.05）;试验组治疗后Barthel指数量表评分、生活质量评分均高于对照组，差异均有统计学意义（P<0.05）;试验组康复优良率（97.74%）高于对照组（78.95%），骨折愈合时间短于对照组，差异均有统计学意义（P<0.05）。结论：对髌骨骨折患者实施关节镜下微创克氏针张力带内固定治疗联合下肢反馈训练的效果更佳，膝关节功能改善程度更好。

【关键词】 髌骨骨折 关节镜 微创克氏针张力带内固定 下肢反馈训练 膝关节功能

[Abstract] Objective： To investigate the effect of arthroscopic minimally invasive Kirschner wire tension band internal fixation combined with lower limb feedback training in patients with patella fractures. Method： From March 2016 to March 2019， 76 patients with patella fractures were randomly divided into the control group （38 cases， arthroscopic minimally invasive Kirschner wire tension band internal fixation） and the experimental group （38 cases， lower limb feedback training on the basis of the control group）. All patients were followed up for 3 months. The fracture healing time， knee joint activity， knee function score， Barthel index score， quality of life score and good recovery rate were compared between the two groups. Result： After treatment， the knee joint activity and knee function score in the experimental group were higher than those of the control group， the differences were statistically significant （P<0.05）. After treatment， the Barthel index score and quality of life score were higher than those of the control group， the differences were statistically significant （P<0.05）. The excellent rate of recovery in the experimental group （97.74%） was higher than that in the control group （78.95%）， the fracture healing time was shorter than the control group， the differences were statistically significant （P<0.05）. Conclusion： The arthroscopic minimally invasive Kirschner wire tension band internal fixation combined with lower limb feedback training is better for patients with patella fractures， and the knee function is improved.

髌骨骨折属于临床患病率较高的骨科疾病[1]，由于髌骨连接大腿和小腿肌肉，若上述部位出现骨折，易导致机体膝关節屈伸活动受阻，从而导致下肢运动功能障碍，为改善上述现象，对其实施复位固定干预十分关键[2]。关节镜下微创克氏针张力带内固定疗法是目前临床治疗上述疾病的常用术式，对改善膝关节功能具有显著作用，但较多调查显示，患者术后恢复进程较慢，且膝关节常存在不同程度局部肿胀，导致患者术后体验感欠佳，故除对患者开展手术干预外，对其实施其他辅助干预措施亦十分必要[3-4]。笔者所在医院对髌骨骨折患者实施关节镜下微创克氏针张力带内固定治疗联合下肢反馈训练取得了较佳的效果，报道如下。

1 资料与方法

1.1 一般资料

选取2016年3月-2019年3月笔者所在医院收治的76例髌骨骨折患者。……