Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 277-280 DOI: 10.16260/j.cnki.1009-2188.2018.04.010 |
| Clinical Research |
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| The Comparison of Clinical Effects of Two Different Surgical Procedures for the Treatment of Hoffa Fractures#br# |
| XU Yulang1, JI Zhihua2, LIU Qiang3, WU Xiaomeng1#br#
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1. Department of Orthopedics, Lingao Traditional Chinese Medicine Hospital， Lingao 571802, Hainan, China; 2. Department of Arthrotraumtic Surgery, the First Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan, China; 3. Department of Orthopedics, People's Hospital of Lingao, Lingao 571800, Hainan, China
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Abstract Abstract:ObjectiveTo compare the effects of two different surgical procedures for the treatment of Hoffa fractures.MethodsA total of 60 patients with Hoffa fractures admitted to the Orthopedics Department of Lingao Traditional Chinese Medicine Hospital and the First Affiliated Hospital of Hainan Medical College from February 2010 to February 2017 were selected, and were divided into the study group and the control group according to the fixation methods during operation, with 30 in each. In the control group, only the tension screws were used for fixation. While in the study group, the lateral supporting steel plate was used to assist the tension screws. Intraoperative blood loss and fracture healing time were compared between the two groups. The patients were followed up for 3 months after operation. Questionnaire survey of postoperative Letenneur score was conducted to evaluate the knee joint function. And the incidence of longterm postoperative complications was compared between the two groups.ResultsIntraoperative blood loss of the study group was significantly higher than the control group, which was (138.5±14.7）ml vs.（105.5±15.6）ml, and the difference was statistically significant(P<0.01). There was no significant difference in fracture healing time between the two groups (P>0.05), which was (12.5±3.4) weeks vs. ( 11.8±3.7) weeks. There was no statistically significant difference in postoperative Letenneur score(76.7% vs. 70%) between the two groups (P>0.05). The longterm complications of the two groups were mainly related to arthrosis, delayed fracture healing, and traumatic arthritis, and there was no difference between the two groups （16.7% vs. 30%）（P>0.05）.ConclusionsThe curative effect of the treatment of Hoffa fracture with side supporting steel plate or only using tension screws is obvious, and the latter has the advantage of low intraoperative blood loss.
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Published: 23 October 2018
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Corresponding Authors:
JI Zhi-hua
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| About author:: XU Yu-lang |
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