Advantages of Arthroscopic Minimally Headless Compression Screws and Patellar Needles Combined with TensionWire Fixation in the Treatment of Patellar Fractures
LI Jian-qiang,SUN Hong-fei,WU Qiang,JIN Yu,ZHANG Yong
Abstract: Objective?To explore the advantages of arthroscopicminimallyheadless compression screws (HCS) and patellar needles combined with tension wire fixation in the treatment of patellar fractures.Methods?Retrospective analysis was carried out in 56 inpatients of patellar fractures in ourhospital,including 15 cases treated with traditional open reduction and Kirschner wire fixation (group A),18 cases of arthroscopicheadless compression screw fixation (group B),and 23 cases of endoscopicminimally invasive patellar needle combined with tension wire fixation (group C) from March,2015 to March,2017.Results?Operation time of group A,B and C was (79.3±8.4)min,(52.2±7.3)min and (61.5±7.8)min with significantdifference (P<0.05).Intraoperative blood loss of group A,B and C was (61.5±8.7)ml,(34.4±5.8)ml and (35.6±4.9)ml.And there was a significantdifference between group B(/C) and group A (P<0.05).Weidauers effect showed that the excellent and good rate of knee joint function,knee joint movement and fracture reduction in group B and C group werehigher than that of group A (P<0.05).In group A,there was 4 cases (26.7%)had postoperative complications,which washigher than group B (0) and group C (0)during the follow-up period.Conclusion?Ithasdefinite clinical effects of arthroscopicminimally invasive HCS surgery for patellar transverse fractures,and patellar needles combined with tension band wire fixation for comminuted ones.Compared with the traditional operation,it is recommended of shorter operation time,less injury,quicker knee joint function recovery,more reliable internal fixation,and less postoperative complications.
李建强1，孙虹斐2，武强2，靳宇1，张勇2. 关节镜下微创无头加压螺钉内固定与髌骨针联合张力钢丝固定治疗髌骨骨折的优势[J]. 中国现代手术学杂志, 2018, 22(1): 37-40.
LI Jian-qiang,SUN Hong-fei,WU Qiang,JIN Yu,ZHANG Yong. Advantages of Arthroscopic Minimally Headless Compression Screws and Patellar Needles Combined with TensionWire Fixation in the Treatment of Patellar Fractures. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 37-40.
[1] 喻单根,李宏杰,张建河,吕飞.两种不同方法固定治疗髌骨骨折的疗效分析[J].实用骨科杂志,2016,22(2):169-171.|[2] Larangeira JA,Bellenzier L,da Silva Rigo V,et al.Vertical open patellafracture,treatment,rehabilitation and the moment to fixation[J].J Clin Med Res,2015,7(2): 129.|[3] 颜登鲁.微创张力带固定法治疗髌骨骨折的研究现状[J].中国临床解剖学杂志,2004,22(4):446-448.|[4] 朱滨,华贤章.关节镜下闭合复位经皮空心加压螺钉治疗髌骨纵形骨折疗效分析[J].实用骨科杂志,2017,23(06):556-558.|[5] 张涛,李海峰,何勍,等.髌骨固定针与克氏针张力带治疗髌骨骨折的病例对照研究[J].中国骨伤,2013,26(6):453-456.|[6] Mao N,Liu D,Ni H,et al.Comparison of the cable pin system with conventional open surgery for transverse patella fractures[J].Clin Orthop Relat Res，2013，471(7):2361-2366.|[7] 宋炜中,丁志宏,杨铁毅.Cable-Pin系统与张力带固定治疗髌骨骨折的比较[J].复旦学报,2010,37(6):672-675.|[8] 江永良,卢春闻,吴云刚,等.Cable-Pin系统微创与切开复位克氏针张力带修复髌骨横行骨折：随机对照[J].中国组织工程研究,2015,19(26):4231-4233.|[9] Heppenstall RB.Fraceture treatment andhealing[M].ListedLord:Sanders Company,1980:759-69.|[10] Singisetti K，Aldlyami E，Middleton A.Early results of a new implant: 3.0mmheadless compression screw for scaphoid fracture fixation[J].J Hand Surg( European volume) ,2012，37(5):690-693.|[11] Appel MH,Seigel H.Treatment of transverse fracture of the patella by arthroscopic percutaneous pingning[J].1993,9(1)：119-121.|[12] 李海滨,王铭,刘会欣,等.关节镜辅助环形尾翼克氏针张力带系统治疗髌骨骨折[J].实用骨科杂志,2015,21(12):1146-1148.
2018, Vol. 22 
