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[1]陳星宇,劉顯東,曹萬(wàn)軍,等.髕骨骨折克氏針張力帶鋼絲內(nèi)固定術(shù)后克氏針?biāo)蓜?dòng)的原因分析及應(yīng)對(duì)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(nèi)固定術(shù)后克氏針?biāo)蓜?dòng)的原因分析及應(yīng)對(duì)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(yè)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(wàn)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(guān)鍵詞:
髕骨;  骨折;  骨折固定術(shù); 內(nèi);  手術(shù)后并發(fā)癥;  相關(guān)分析;  克氏針?biāo)蓜?dòng)
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(nèi)固定術(shù)后導(dǎo)致克氏針?biāo)蓜?dòng)的可能原因,并探討其應(yīng)對(duì)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(nèi)固定術(shù)治療后出現(xiàn)克氏針?biāo)蓜?dòng)的17例髕骨骨折患者的X線(xiàn)片,應(yīng)用infiniti系統(tǒng)軟件測(cè)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(xiàn)的夾角,并采用Pearson相關(guān)分析法分析退針距離與其他3項(xiàng)參數(shù)的關(guān)系。結(jié)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(xiàn)的夾角(17.35°±1.75°)均呈負(fù)相關(guān)(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(guān)(r=0.550,P=0.037)。結(jié)論:導(dǎo)致髕骨骨折克氏針張力帶鋼絲內(nèi)固定術(shù)后克氏針?biāo)蓜?dòng)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(xiàn)的夾角小、克氏針針尖至髕骨下極的距離大。術(shù)中應(yīng)適當(dāng)增加克氏針尾部的彎曲度數(shù)及克氏針與股四頭肌軸線(xiàn)的夾角,適當(dāng)控制克氏針針尖至髕骨的距離,以降低克氏針?biāo)蓜?dòng)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.

參考文獻(xiàn)/References:

[1] 徐洪璋,余斌.髕骨骨折AO張力帶內(nèi)固定有限元模型的建立和分析[J].中國(guó)組織工程研究與臨床康復(fù),2011,15(13):2339-2344.
[2] RUEDI TP,MURPHY WM.骨折治療的AO原則[M].王滿(mǎn)宜,楊慶銘,曾炳芳,等譯.北京:華夏出版社,2003:483-484.
[3] 董正超,姚新苗.髕骨骨折的分型及內(nèi)固定治療進(jìn)展[J].中醫(yī)正骨,2015,27(8):58-60.
[4] THELEN S,BETSCH M,SCHNEPPENDAHL J,et al.Fixation of multifragmentary patella fractures using a bilateral fixed-angle plate[J].Orthopedics,2013,36(11):1437-1443.
[5] DICKENS AJ,SALAS C,RISE LR,et al.Titanium mesh as a low-profile alternative for tension-band augmentation in patella fracture fixation:a biomechanical study[J].Injury-international Journal of the Care of the Injured,2015,46(6):1001-1006.
[6] 李健,顏登魯,高梁斌,等.微創(chuàng)張力帶固定治療橫斷型髕骨骨折的基礎(chǔ)與臨床研究[J].中國(guó)臨床解剖學(xué)雜志,2004,22(6):668-371.
[7] 樊正軍,于廣海,蔡玉田,等.三種方法治療髕骨骨折的比較[J].中國(guó)矯形外科雜志,2014,22(16):1509-1512.
[8] 郭楠.不同類(lèi)型髕骨骨折手術(shù)治療與并發(fā)癥分析[J].醫(yī)療裝備,2016,29(2):100-101.
[9] SCHUETT DJ,HAKE ME,MAUFFREY C,et al.Current treatment strategies for patella fractures[J].Orthopedics,2015,38(6):377-384.
[10] MATSUO T,WATARI T,NAITO K,et al.Percutaneous cerclage wiring for the surgical treatment of displaced patella fractures[J].Strategies in trauma and Limb Reconstruction,2014,9(1):l9-23.
[11] 喻單根,李宏杰,張建河,等.兩種不同方法固定治療髕骨骨折的療效分析[J].實(shí)用骨科雜志,2016, 22(2):169-171.
[12] THELEN S,SCHNEPPENDAHL J,BAUMGÄRTNER R,et al.Cyclic long-term loading of a bilateral fixed-angle plate in comparison with tension band wiring with K-wires or cannulated screws in transverse patella fractures[J].Knee Surg Sports Traumatol Arthrosc,2013,21(2):311-317.
[13] MÜLLER ME,ALLGÖWER M,SCHNEIDER R,et al.骨科內(nèi)固定[M].3版.榮國(guó)威,翟桂華,劉沂,等主譯.北京:人民衛(wèi)生出版社,1995:393.
[14] 葛孚章,鄭進(jìn)友.兩種方法治療髕骨骨折的療效比較[J].中國(guó)矯形外科雜志,2013,21(12):1249-1251.
[15] 靳安民,汪華橋.骨科臨床解剖學(xué)[M].濟(jì)南:山東科學(xué)技術(shù)出版社,2010:323-324.

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