Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 37-40 DOI: 10.16260/j.cnki.1009-2188.2018.01.010 |
| Clinical Research |
|
|
|
|
|
| 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
|
| Emergency?Department,Tangshan?People's?Hospital,Tangshan?603001,Hebei,China |
|
|
|
|
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.
|
|
Published: 13 August 2018
|
|
|
|
Corresponding Authors:
LI Jian-qiang
|
|
|
|
|
|
