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[1]陳星宇,劉顯東,曹萬軍,等.髕骨骨折克氏針張力帶鋼絲內固定術后克氏針松動的原因分析及應對策略[J].中醫(yī)正骨,2017,29(01):23-26.
　CHEN Xingyu,LIU Xiandong,CAO Wanjun,et al.K-wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures:cause analysis and coping strategies[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(01):23-26.
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髕骨骨折克氏針張力帶鋼絲內固定術后克氏針松動的原因分析及應對策略()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年01期
頁碼:
23-26
欄目:
臨床研究
出版日期:
2017-01-20

文章信息/Info

Title:
K-wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures:cause analysis and coping strategies
作者:
陳星宇1; 劉顯東1; 曹萬軍1; 杜亮2; 唐承杰1; 鄭金文1
1.四川省骨科醫(yī)院,四川 成都 610041;
2.四川省廣安市廣安區(qū)人民醫(yī)院,四川 廣安 638550
Author(s):
CHEN Xingyu1; LIU Xiandong1; CAO Wanjun1; DU Liang2; TANG Chengjie1; ZHENG Jinwen1
1.Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China 2.The People's Hospital of Guang'an district in Guang'an City,Guang'an 638550,Sichuan,China
關鍵詞:
髕骨;  骨折;  骨折固定術; 內;  手術后并發(fā)癥;  相關分析;  克氏針松動
Keywords:
patella;  fractures; bone;  fracture fixation; internal;  postoperative complications;  correlation analysis;  Kirschner wire loosening
摘要:
目的:分析髕骨骨折克氏針張力帶鋼絲內固定術后導致克氏針松動的可能原因,并探討其應對策略。方法:收集2014年1月至2015年12月采用克氏針張力帶鋼絲內固定術治療后出現(xiàn)克氏針松動的17例髕骨骨折患者的X線片,應用infiniti系統(tǒng)軟件測量克氏針退針距離、針尾部的彎曲度數(shù)、針尖至髕骨下極的距離以及克氏針與股四頭肌軸線的夾角,并采用Pearson相關分析法分析退針距離與其他3項參數(shù)的關系。結果:克氏針退針距離[(10.02±5.56)mm]與克氏針尾部的彎曲度數(shù)(117.30°±3.52°)、克氏針和股四頭肌軸線的夾角(17.35°±1.75°)均呈負相關(r=-0.774,P=0.013; r=-0.710,P=0.007),與克氏針針尖至髕骨下極的距離[(11.17±0.81)mm]呈正相關(r=0.550,P=0.037)。結論:導致髕骨骨折克氏針張力帶鋼絲內固定術后克氏針松動的可能原因包括克氏針尾部彎曲度數(shù)小、克氏針和股四頭肌軸線的夾角小、克氏針針尖至髕骨下極的距離大。術中應適當增加克氏針尾部的彎曲度數(shù)及克氏針與股四頭肌軸線的夾角,適當控制克氏針針尖至髕骨的距離,以降低克氏針松動的可能性。
Abstract:
Objective:To study the possible causes and coping strategies of K-wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures.Methods:The X-ray films of 17 patients with patella fractures who developed K-wire loosening after internal fixation with tension band made of K-wire and steel-wire from January 2014 to December 2015 were collected.The needle withdrawal distance,bending-degree of needle tail,distance from needle tip to patellar distal extreme and included angle between K-wire and axis of quadriceps femoris were measured by using infiniti system software,and the relationships between needle withdrawal distance and other 3 parameters were analyzed by using Pearson correlation analysis.Results:The needle withdrawal distance(10.02+/-5.56 mm)was negatively correlated(r=-0.774,P=0.013; r=-0.710,P=0.007)with the bending-degree of needle tail(117.30+/-3.52 degrees)and the included angle between K-wire and axis of quadriceps femoris(17.35+/-1.75 degrees),and was positively correlated(r=0.550,P=0.037)with the distance from needle tip to patellar distal extreme(11.17+/-0.81 mm).Conclusion:The possible causes of K-wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures include small bending-degree of needle tail,small included angle between K-wire and axis of quadriceps femoris and long distance from needle tip to patellar distal extreme,so the bending-degree of needle tail and the included angle between K-wire and axis of quadriceps femoris should be properly increased and the distance from needle tip to patellar distal extreme should be properly controlled in the surgery so as to reduce the possibility of K-wire loosening.

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通訊作者:劉顯東 E-mail:[email protected]
更新日期/Last Update: 2017-01-20