经骨钢丝固定导引器治疗撕脱性骨折的临床体会.docVIP

经骨钢丝固定导引器治疗撕脱性骨折的临床体会 　　[摘要] 目的 探讨经骨钢丝固定导引器治疗撕脱性骨折的临床体会。 方法 回顾性分析2014年3月～2015年7月我院确诊治疗的胫骨髁间棘撕脱性骨折患者40例，依据治疗方法分为导引组和对照组，每组20例，对照组患者给予钢丝内固定治疗，导引组患者给予经骨钢丝固定导引器治疗，采用Lysholm膝关节评分法（LH）评估关节功能，随访9个月，统计分析所有患者手术、住院、骨折愈合时间、术中出血量、治疗前、治疗后3、6、9个月的关节功能及并发症发生情况。 结果 导引组患者手术、住院、骨折愈合时间、术中出血量明显低于对照组，差异有统计学意义（P0.05）；导引组患者治疗后3、6、9个月的LH得分明显高于对照组，差异有统计学意义（P0.05）；导引组患者并发症发生率明显低于对照组，差异有统计学意义（P0.05）。 结论 经骨钢丝固定导引器治疗可有效减少胫骨髁间棘撕脱性骨患者术中创伤和并发症的发生，有利于患者术后恢复，改善患者关节功能，值得临床作进一步推广。 　　[关键词] 骨钢丝；固定导引器；撕脱性骨折；并发症 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 2095-0616（2016）20-184-04 　　Clinical experience of bone wire fixed guidance in treatment of avulsion fractures 　　DENG Wenjun ZHANG Guofeng CUI Zhiwei 　　Department of Orthopaedics，Huizhou Hospital，Huizhou 516006，China 　　[Abstract] Objective To discuss the clinical experience of bone wire fixed guidance in treatment of avulsion fractures. Methods 40 cases of patients with spines avulsion fracture of tibial condyle cured in our hospital from March 2014 to July 2015 were retrospective analyzed.According to the treatment，all patients were divided into guidance group and control group with 20 cases in each.Patients in control group patients were treated with steel wire internal fixation， and patients in guidance group were treated with bone wire fixed guidance treatment.Lysholm knee scoring method （LH） was used to assess the joint function.Followed up for 9 months，surgery，hospitalization，fracture healing time，intraoperative blood loss，treatment before and after treatment 3，6，9 months of joint function and complications were statistically analyzed. Results Surgery，hospitalization，fracture healing time，intraoperative blood lossof guidance group were significantly lower than those of control group.There were significant differences （P0.05）.LH scores after treatment 3，6，9 months of guidance groups were significantly higher than those of control group.There were significant differences （P0.05）.Complication rates of guidance group was significantly lower than that of c