本文關(guān)鍵詞： 髕骨骨折 張力帶 骨科導(dǎo)向復(fù)位鉗　出處：《中國矯形外科雜志》2017年06期 　論文類型：期刊論文

【摘要】：[目的]探討自行研制骨科導(dǎo)向復(fù)位鉗在髕骨骨折術(shù)中的臨床應(yīng)用效果。[方法]2012年2月~2015年12月,對70例符合納入標(biāo)準(zhǔn)的橫行髕骨骨折進(jìn)行臨床研究,按照入院順序隨機(jī)分為導(dǎo)向復(fù)位鉗組35例和點(diǎn)式復(fù)位鉗組35例。兩組均采用胥氏改良張力帶鋼絲固定法固定。導(dǎo)向復(fù)位鉗組采用導(dǎo)向復(fù)位鉗加壓復(fù)位減少骨折間隙、引導(dǎo)克氏針置入。點(diǎn)式復(fù)位鉗組采用點(diǎn)式復(fù)位鉗復(fù)位,不借助任何定位導(dǎo)向置入克氏針。觀察手術(shù)時間、克氏針首次置入位置、置入次數(shù)、透視次數(shù)、遺留的骨折端間隙,并依B?stman評分標(biāo)準(zhǔn)對膝關(guān)節(jié)功能進(jìn)行評估。[結(jié)果]隨訪12個月~2年。骨折均愈合,愈合率100%。導(dǎo)向復(fù)位鉗組在手術(shù)時間、穿針次數(shù)、置針準(zhǔn)確性方面均優(yōu)于點(diǎn)式復(fù)位鉗組,差異有統(tǒng)計學(xué)意義(P0.05)。[結(jié)論]骨科導(dǎo)向復(fù)位鉗在髕骨骨折手術(shù)中有利于克氏針的準(zhǔn)確置入,降低了手術(shù)難度,可減少術(shù)中X射線暴露,臨床療效良好。
[Abstract]:[objective] to investigate the clinical application of orthopedic guided reduction forceps in patellar fractures. [methods] from February 2012 to December 2015, 70 patients with transverse patellar fractures who met the inclusion criteria were studied. According to the order of admission, they were randomly divided into guided reduction clamp group (35 cases) and point reduction forceps group (35 cases). To guide Kirschner needle placement. The point reduction forceps group was reduced by point reduction forceps, without any positioning guide, and Kirschner needle was inserted into the position, times, times of fluoroscopy, and the remaining fracture end space. And Bon? Stman score was used to evaluate the function of knee joint. [results] 12 months to 2 years follow-up showed that the fracture healed and the healing rate was 100%. The guided reduction forceps group was superior to the point reduction forceps group in the operation time, the times of needle puncture and the accuracy of needle insertion. The difference was statistically significant (P 0.05). [conclusion] the orthopedic guided reduction forceps are beneficial to the accurate placement of Kirschner's needle in the operation of patellar fracture, reduce the difficulty of operation, reduce the exposure of X ray during operation, and have good clinical effect.
【作者單位】： 濱州醫(yī)學(xué)院;濱州醫(yī)學(xué)院附屬淄博市臨淄區(qū)人民醫(yī)院骨一科;濱州醫(yī)學(xué)院附屬醫(yī)院脊柱外科;濱州醫(yī)學(xué)院附屬醫(yī)院創(chuàng)傷骨科;
【分類號】：R687.3

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本文編號：1501238