陈守勃;柳晓林;方凯彬;林三福;吴国忠;王文怀;

• 1:福建医科大学附属第二医院骨科

摘要(Abstract)：

[目的]探讨关节镜辅助复位结合经皮髌骨针张力带固定治疗Rockwood Ⅱ-Ⅲ型髌骨骨折的近期临床疗效。[方法]选取手术治疗的Rockwood Ⅱ-Ⅲ型髌骨骨折患者60例作为研究对象,其中20例采用关节镜辅助复位结合经皮髌骨针张力带固定,40例采用传统切开复位髌骨针张力带内固定技术进行手术。比较两组患者的围手术期指标和术后随访情况。[结果]所有患者均顺利完成手术。虽然关节镜组手术时间显著长于开放组(P<0.05),但关节镜组的切口长度明显小于开放组,关节镜组透视次数明显少于开放组,差异均有统计学意义(P<0.05)。随时间推移,两组患者VAS评分显著减少,Lysholm评分和ROM显著增加,不同时间点差异有统计学意义(P<0.05)。术后1 d、6个月和末次随访时,关节镜组的VAS评分、Lysholm评分和ROM均显著优于开放组(P<0.05)。影像评估方面。术后第1 d两组患者骨折移位程度均较术前显著减小(P<0.05),关节镜组骨折复位情况显著优于开放组(P<0.05)。[结论]关节镜辅助复位结合经皮髌骨针张力带固定治疗粉碎性髌骨骨折可以在直视下进行骨折复位,术中可行关节腔冲洗、手术创伤小、并发症少、术后功能恢复好,值得进一步推广。

关键词(KeyWords)： 髌骨骨折;关节镜;髌骨针

Abstract:

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作者(Author): 陈守勃;柳晓林;方凯彬;林三福;吴国忠;王文怀;

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参考文献(References)：

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