不可吸收缝线经nice结内固定粉碎性髌骨骨折的回顾性研究。

IF 2.2 3区 医学 Q2 ORTHOPEDICS
Lian Zeng, Tian Xia, Xinyue Yang, Qiankun Xu, Yudong Sun, Chengfeng Li, Hongwei Lu, Wenzhe Sun, Peiran Xue, Pengqing Zhang, Jianwen Wang, Yanzhen Qu
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引用次数: 0

摘要

背景:由于髌骨上覆盖的皮肤薄,金属植入物经常引起局部不适,需要移除。本研究旨在评价尼斯结技术采用不可吸收缝线作为唯一内固定方法治疗粉碎性髌骨骨折的术中及术后早期疗效。方法:本回顾性研究回顾了25例单侧闭合性粉碎性髌骨骨折患者,采用不可吸收缝线尼斯结(NK组,n = 12)或传统张力带技术(TB组,n = 13)行切开复位内固定。记录术中手术时间及出血量。术后临床结果采用视觉模拟量表(VAS)评估疼痛、膝关节活动度(ROM)和Böstman评分系统。影像学评估骨折愈合情况。并发症,包括感染、种植体松动、不适或刺激,也有记录。结果:NK组术中手术时间虽略长于TB组,但差异无统计学意义。NK组和TB组的失血量差异也无统计学意义。随访期间,两组均未见骨不连、内固定松动或内固定失败。结核组1例患者术后1周出现伤口感染。在最后的随访中,两组在VAS评分、膝关节活动度(ROM)或Böstman评分方面没有显著差异。然而,在结核组中,5名患者报告内固定引起的明显不适或刺激。结论:与传统张力带固定相比,尼斯结技术减少了对软组织的刺激,避免了取出假体的手术,潜在地降低了术后感染率,并获得了相当的骨折愈合时间和膝关节功能。然而,需要通过多中心研究进行更广泛的验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Internal fixation of comminuted patellar fractures with only non-absorbable suture via nice knot: a retrospective study.

Background: Due to the patella's thin overlying skin, metal implants frequently cause local discomfort that necessitates removal. This study aimed to evaluate the intraoperative and early postoperative outcomes of treating comminuted patellar fractures using non-absorbable sutures as the sole internal fixation method via the Nice knot technique.

Methods: This retrospective study reviewed 25 patients with unilateral closed comminuted patellar fractures who underwent open reduction and internal fixation using either non-absorbable sutures tied with a Nice knot (NK group, n = 12) or the traditional tension band technique (TB group, n = 13). Intraoperative surgical time and blood loss were recorded. Postoperative clinical outcomes were evaluated using the Visual Analogue Scale (VAS) for pain, knee range of motion (ROM), and the Böstman scoring system. Radiographic assessments were conducted to evaluate fracture healing. Complications, including infection, implant loosening, and discomfort or irritation, were also documented.

Results: Although the intraoperative surgical time was slightly longer in the NK group compared to the TB group, the difference was not statistically significant. The difference in blood loss between the NK and TB groups was also not statistically significant. No cases of bone non-union, implant loosening, or internal fixation failure were observed in either group during the follow-up period. One patient in the TB group developed a wound infection one week postoperatively. At the final follow-up, there were no significant differences between the two groups in terms of VAS scores, knee range of motion (ROM), or Böstman scores. However, in the TB group, five patients reported notable discomfort or irritation caused by the internal fixation.

Conclusion: Compared with traditional tension band fixation, the Nice knot technique reduces soft tissue irritation, avoids implant removal surgery, potentially lowers postoperative infection rates, and achieves comparable fracture healing time and knee function. However, broader validation through multi-center studies is required.

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来源期刊
BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders 医学-风湿病学
CiteScore
3.80
自引率
8.70%
发文量
1017
审稿时长
3-6 weeks
期刊介绍: BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.
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