孔淋淋

[摘要] 目的 对应用带线锚钉结合张力带内固定治疗髌骨粉碎性骨折的临床效果进行研究。方法 采集时间段为2017年4月—2019年6月方便选取于该院骨科接受手术治疗的髌骨粉碎性骨折患者80例，通过随机法分为40例对照组（以克氏针张力带钢丝内固定术治疗）与40例研究组（以带线锚钉结合张力带内固定术治疗），对比不同手术方法的实际应用效果。结果 对照组膝关节活动度优良率为77.5%，研究组膝关节活动度优良率为95.0%;经过对比后，相较于对照组，研究组患者膝关节活动度优良率更好（χ2=12.911，P<0.05）。对照组Lysholm膝关节评分为（74.51±9.44）分，骨折愈合时间为（2.6±1.2）月，研究组Lysholm膝关节评分为（85.29±9.37）分，骨折愈合时间为（1.1±0.7）月;相较于对照组，研究组患者Lysholm膝关节评分及骨折愈合时间改善效果更好（t=5.125、6.828，P<0.05）。对照组并发症发生率为12.5%，研究组并发症发生率为2.5%;相较于对照组，研究组并发症发生率更低（χ2=7.207，P<0.05）。结论 在髌骨粉碎性骨折临床治疗中，可通过带线锚钉结合张力带内固定术进行治疗，膝关节活动功能恢复效果更好，使骨折愈合时间缩短，減少并发症发生率，具备较高临床价值。

[关键词] 带线锚钉;张力带内固定;髌骨粉碎性骨折

[Abstract] Objective To study the clinical effect of applying sling anchors and tension band internal fixation to treat comminuted patella fractures. Methods The collection period was from April 2017 to June 2019. 80 patients with comminuted patella fractures who underwent surgical treatment at the hospital's orthopaedics department were convenient scelection randomly divided into 40 control groups （treated with Kirschner wire tension band wire internal fixation ） And 40 cases of the study group （treated with threaded anchors and tension band internal fixation）， compared the actual application effects of different surgical methods. Results The excellent rate of knee joint mobility in the control group was 77.5%， and the excellent rate of knee joint mobility in the study group was 95.0%. After comparison， compared with the control group， the excellent rate of knee joint mobility was better in the study group （χ2=12.911， P<0.05）. The Lysholm knee score of the control group was （74.51±9.44）points， and the fracture healing time was （2.6±1.2）month. The Lysholm knee score of the study group was （85.29±9.37）points， and the fracture healing time was （1.1±0.7）month. Compared with the control， The Lysholm knee joint score and fracture healing time were better in the group and study group （t=6.828， 5.125， P<0.05）. The complication rate in the control group was 12.5%， and the complication rate in the study group was 2.5%. Compared with the control group， the complication rate was lower in the study group and the difference between the groups was large （χ2=7.207， P<0.05）. Conclusion In the clinical treatment of comminuted patella fractures， it can be treated with a wire anchor and tension band internal fixation. The knee joint has a better function of restoring the movement of the knee joint， with clinical value.

[Key words] Wire anchor; Tension band internal fixation; Patella comminuted fracture

髌骨骨折属于临床上常见的骨折类型，根据相关资料显示，可占到骨折损伤所有类型的10%左右，且通常情况下是由于外界暴力所导致[1]。髌骨粉碎性骨折的治疗难度较高，需要对关节面的平整性进行有效恢复，因此需要选择有效的治疗方法[2]。临床治疗方法以克氏针张力带钢丝内固定术为主，但该方法具备一定局限性，因此需选择更为有效的联合治疗方法。该研究对该院2017年4月—2019年6月收治的髌骨粉碎性骨折80例患者采用不同方法进行治疗，旨在探讨不同手术方法的实际应用效果，报道如下。

1  对象与方法

1.1  研究对象

方便选取该院收治的髌骨粉碎性骨折患者80例，通过随机法分为40例对照组与40例研究组。其中对照组男性28例，女性12例;年龄为25～43岁，平均年龄为（32.15±4.28）岁。研究组男性29例，女性11例;年龄为26～44岁，平均年龄为（31.63±5.02）岁。所有患者的骨折类型均为AO C3型。……