Adjustable patella claws and absorbable suture versus Kirschner wire tension band in the repair of comminuted patellar fractures

doi:10.3969/j.issn.2095-4344.2015.22.021

Abstract

Abstract:

BACKGROUND: High-energy patellar comminuted fracture significantly increased. Single fixation cannot meet the requirement of anatomical repositioning of the patella, multiple-point strong fixation, and early functional exercise.
OBJECTIVE: To compare the clinical effect of adjustable patella claws + absorbable suture and Kirschner wire tension band in the repair of comminuted patellar fractures.
METHODS: A total of 57 patients with comminuted patella fracture were randomly selected and randomly assigned to two groups. 29 cases received open reduction and adjustable patella claws + absorbable suture fixation. 28 cases received open reduction and Kirschner wire tension band fixation. Operative time, incision length, fracture healing time, postoperative complications and Hospital for Special Surgery knee function scores were compared between the two groups, and then statistical analysis was conducted.
RESULTS AND CONCLUSION: No significant difference in incision length and operative time was detected between the adjustable patella claws + absorbable suture group and Kirschner wire tension band group. Significant differences in healing time, incidence of complications and knee function after treatment were observed between the two groups, and above indications were better in the adjustable patella claws + absorbable suture group than in the Kirschner wire tension band group (P < 0.05). These results confirm that compared with the Kirschner wire tension band, adjustable patella claws + absorbable suture in repair of patellar comminuted fracture has some advantages such as short healing time, less postoperative complications, as well as good functional recovery of knee joint. The fixation is accorded with biomechanical principle of internal fixation, simple to operate, firmly fixed, and has good prospects.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Patella, Fractures, Comminuted, Internal Fixators, Fracture Healing

CLC Number:

R318

Cui Hai-feng. Adjustable patella claws and absorbable suture versus Kirschner wire tension band in the repair of comminuted patellar fractures[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(22): 3555-3559.

Figures/Tables 6

References

[1] 熊鹰,陆继鹏,柳百炼,等.髌骨复位固定器的研制及临床研究[J].中国矫形外科杂志,2008,16(24):1918-1920.
[2] 徐洪璋,余斌.髌骨骨折AO张力带内固定有限元模型的建立和分析[J].中国组织工程与临床研究,2011,15(13):2339-2344.
[3] Bowner BO, Jupiter JB, Levine AM. Skeletal trauma. philadelphia: WB Saunders,1992:1685-1715.
[4] Galla M,Lobenhoffer P.Patella fractures. Chirurg.2005; 76(10): 987-997.
[5] 李阳,欧阳跃平,苟三怀,等.三种不同内固定植入物治疗髌骨粉碎性骨折的效果比较[J].中国组织工程研究与临床康复,2008, 12(4):760-764.
[6] 江波,沈忆新,伏治国.镍钛记忆合金髌骨爪治疗髌骨骨折[J] .苏州大学学报(医学版),2007,27(3):489-492 .
[7] 曹丙伦,王玉波,王慎东,等.镍钛形状记忆合金聚髌器治疗髌骨骨折127例疗效分析[J].中国矫形外科杂志,2007,15(10):784-785.
[8] 张权,危杰,王满宜.Cable-Pin系统在髌骨骨折治疗中的应用[J].中华创伤骨科杂志,2007,39(3):214-217.
[9] 郑金龙,王以进,陈爱民,等.可吸收内固定材料植入髌骨横断性骨折局部与金属植入物生物力学性能的比较[J].中国组织工程研究与临床康复,2009,13(51):10069-10073.
[10] Hughes SC, Stott PM, Hearnden AJ, et al.A new and effective tension-band braided polyester suture technique for transverse patellar fracture fixation. Injury. 2007;38(2)：212-222.
[11] 王光忠,纪京博,魏巍.张力带内固定治疗髌骨骨折83例体会[J].山东医药,2008,48(2):34．
[12] 刘仲,王培刚,赵楷生.空心加压螺钉结合钢丝张力带固定治疗髌骨骨折[J].实用骨科杂志,2009,15(12):941-942．
[13] 王维山,孙建华,李宽新,等.髌骨骨折不同治疗方法的临床疗效比较及治疗策略分析[J].实用医学杂志,2012, 28(18):3044-3046.
[14] 焦玉峰,王海全,赵德军,等.分体式聚髌器治疗髌骨骨折[J].中国矫形外科杂志,2010,18(8):688-690.
[15] 王强,陶玉平,蒋百川,等.爱惜康缝线在髌骨骨折治疗中的临床应用[J].中国矫形外科杂志,2010,18(23):2000-2001.
[16] 蒋学军,李健华,余建文.镍钛聚髌器、可吸收线、钢针联合治疗髌骨骨折的疗效分析[J].现代诊断与治疗, 2013, 24(17):4034- 4035.
[17] 林杨景,林炎水,蒲静,等.分体式髌骨爪联合可吸收缝线骨折的疗效观察治疗髌骨折[J].成都医学院学报,2013, 8(5):613-616.
[18] 王鹏建,李超,张超,等.髌骨骨折的分型及其临床应用[J].中国骨与关节损伤杂志,2007,22(81):656-658．
[19] 王军义.前正中切口入路治疗髌骨骨折[J].山东医药,2006,46(9): 50-51.
[20] 徐泽孔,许硕贵.髌前筋膜修补术在髌骨骨折治疗中的意义[J]. 中国骨与关节损伤杂志,2005,20(10):706-707.
[21] Basarir K, Erdemli B, Tuccar E, et al.Safe zone for the descending genieular artery in the midvastus approach to the knee. Clin Orthop Relat Res. 2006;451:96-100.
[22] 程国林,朱爱平,李继春.关节镜治疗胫骨平台骨折[J].中国微创外科杂志,2008,8(8):698-699.
[23] 江水华,郭开今,陈树祥,等.微创经皮钢板内固定治疗胫骨骨折[J].中国微创外科杂志,2007,7(12):1206-1208.
[24] 张惠茹,黄东,江奕恒,等.微创小切口术式治疗闭合性横行髌骨骨折的效果[J].广东医学,2014,35(3):416-417.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程