间断垂直缝合固定髌骨下极粉碎性骨折△

Intermittent vertical mattresses suture for comminuted fractures of the lower patellar pole

摘要:

［目的］探讨 5#爱惜邦线间断垂直缝合技术治疗髌骨下极粉碎性骨折的临床效果。［方法］2018 年 8 月—2020 年 11 月采用 5#爱惜邦线间断垂直缝合技术对 34 例髌骨下极粉碎性骨折进行治疗。评价临床与影像结果。［结果］34 例患者均顺利完成手术，术中无重要神经、血管损伤等并发症。切口均顺利愈合。所有患者均获得平均（12.88±0.91）个月随访。术后 12 个月，膝前痛的 VAS 评分（0.82±1.14）分，Bostman 髌骨骨折功能评分为（27.68±2.27）分，临床结果优 29 例，良 5 例，优良率 100％。影像方面，术后骨折无再移位，骨折愈合时间 12~16 周，Insall-Salvati 指数平均为 （1.02±0.08）。［结论］ 5#爱惜邦线间断垂直缝合技术治疗髌骨下极粉碎性骨折，技术简单，临床效果满意。

Abstract:

[Objective] To investigate the clinical outcomes of interrupted vertical mattresses suture for comminuted fractures of the lower patellar pole. [Methods] From August 2018 to November 2020, 34 patients received internal fixation of comminuted fractures of the lower patellar pole by interrupted vertical mattresses suture with No. 5 ethibond. The clinical and imaging findings were evaluated. [Results] All the 34 patients had operation performed successfully without complications such as injuries to important nerves and blood ves- sels, while with well incisions healing. The patients were followed up for (12.88±0.91) months on an average. At 12 months after operation, the VAS score of anterior knee pain was of (0.82±1.14) , and the Bostman function score for patellar fracture was of (27.68±2.27) . The clini- cal results were marked as excellent in 29 cases, good in 5 cases, with an excellent and good rate of 100%. Radiographically, no re-dis- placement of the fracture was found in anyone of them, whereas the fracture healed from 12 to 16 weeks with a mean Insall-Salvati index of (1.02±0.08) . [Conclusion] Interrupted vertical mattresses sutures with No. 5 ethibond are not only simple in technique, but also achieve satisfactory clinical outcomes for comminuted fracture of the lower patellar pole.