双缝线纽结环扎技术治疗髌骨粉碎性骨折（AO/OTA 34-C3）。
A double-suture cerclage reduction technique with Nice knots for comminuted patella fractures (AO/OTA 34-C3).
机构信息
Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China.
Department of Orthopedics, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai, 201700, China.
出版信息
J Orthop Surg Res. 2023 Feb 16;18(1):112. doi: 10.1186/s13018-023-03574-2.
BACKGROUND
Comminuted patella fractures place high demands on surgeons' surgical skills. We used a double-suture cerclage reduction with Nice knots as an intra-operative reduction technique to displaced comminuted patella fractures.
METHODS
Patients were divided into two groups by whether or not an intra-operative suture cerclage reduction technique was used. Fragments count, surgical time, quality of the reduction, and fracture healing time were recorded. The postoperative function was assessed by Böstman score and range of motion.
RESULTS
With the inclusion and exclusion criteria, 48 patients we included in the cohort between Sept. 2016 and Oct. 2021. The double-suture cerclage reduction technique with a Nice knot achieved a satisfactory reduction. When the number of fragments was over 5, this technique showed significant advantages in saving surgery time.
CONCLUSIONS
In this study, the double-suture cerclage reduction technique combined with the Nice knot shows significant advantages for displaced highly comminuted patella fractures. This technique simplifies the operation and saves surgical time, which is helpful for clinical practice.
背景
粉碎性髌骨骨折对术者的手术技巧要求较高。我们使用双缝线环扎复位加 Nice 结作为术中复位技术，治疗移位的粉碎性髌骨骨折。
方法
根据术中是否使用缝线环扎复位技术，将患者分为两组。记录骨折块数量、手术时间、复位质量和骨折愈合时间。术后功能采用 Böstman 评分和活动范围进行评估。
结果
根据纳入和排除标准，2016 年 9 月至 2021 年 10 月，共有 48 例患者纳入本队列。双缝线环扎复位加 Nice 结可获得满意的复位。当骨折块数量超过 5 块时，该技术在节省手术时间方面具有显著优势。
结论
在本研究中，双缝线环扎复位技术联合 Nice 结对移位的高度粉碎性髌骨骨折具有显著优势。该技术简化了手术操作，节省了手术时间，有助于临床实践。
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