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闭合复位微创内固定治疗股骨髁关节内粉碎性骨折的临床疗效

Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle.

作者信息

Lian Xiaodong, Zhang Heng, Guo Fan, Wang Zhongzheng, Zhao Kuo, Hou Zhiyong, Zhang Yingze

机构信息

Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China.

Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, China.

出版信息

Front Surg. 2023 Feb 3;10:1085636. doi: 10.3389/fsurg.2023.1085636. eCollection 2023.

DOI:10.3389/fsurg.2023.1085636
PMID:36816009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9935693/
Abstract

OBJECTIVE

To evaluate the advantages of double reverse traction closed reduction combined with minimally invasive fixation in treating femoral condylar comminuted fractures.

METHODS

We retrospectively enrolled a total of 24 patients with femoral condylar comminuted fractures (AO = 33C3) admitted to Third Hospital of Hebei Medical University from March 2018 to February 2020. The patients were divided into two groups: experimental group (double reverse traction,  = 12) and control group (conventional surgery,  = 12). Patient demographics, fracture characteristics, operation time, incision length, and postoperative complications were then collected. The Hospital for Special Surgery (HSS) scores were recorded at the last follow-up visit.

RESULTS

The average surgical time was 52.2 (41-73) min in the experimental group and 71.2 (45-103) min in the control group. In addition, the mean total incision length was 13.8 (11-17) cm in the experimental group and 16.3 (14-19) cm in the control group. The average HHS scores at the final follow-up were 86.3 (78-93) and 82.7 (76-90) in the experimental group and control group, respectively.

CONCLUSION

It was found that double reverse traction closed reduction combined with minimally invasive fixation can provide good repositioning results and functional extremity. Moreover, patients tolerate postoperative functional knee exercises well.

摘要

目的

评估双反牵引闭合复位联合微创内固定治疗股骨髁粉碎性骨折的优势。

方法

回顾性纳入2018年3月至2020年2月在河北医科大学第三医院收治的24例股骨髁粉碎性骨折患者（AO=33C3）。将患者分为两组：试验组（双反牵引，n=12）和对照组（传统手术，n=12）。收集患者的人口统计学资料、骨折特征、手术时间、切口长度及术后并发症。末次随访时记录美国特种外科医院（HSS）评分。

结果

试验组平均手术时间为52.2（41-73）分钟，对照组为71.2（45-103）分钟。此外，试验组平均总切口长度为13.8（11-17）厘米，对照组为16.3（14-十九）厘米。试验组和对照组末次随访时的平均HHS评分分别为86.3（78-93）和82.7（76-90）。

结论

发现双反牵引闭合复位联合微创内固定可提供良好的复位效果和肢体功能。此外，患者对术后膝关节功能锻炼耐受性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/d388fa5a0954/fsurg-10-1085636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/af83acf29535/fsurg-10-1085636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/f8939790321c/fsurg-10-1085636-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/7381700cbbc8/fsurg-10-1085636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/66ccec3b4dd6/fsurg-10-1085636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/d388fa5a0954/fsurg-10-1085636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/af83acf29535/fsurg-10-1085636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/f8939790321c/fsurg-10-1085636-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/7381700cbbc8/fsurg-10-1085636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/66ccec3b4dd6/fsurg-10-1085636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ce/9935693/d388fa5a0954/fsurg-10-1085636-g005.jpg

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本文引用的文献

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Minimally Invasive Reduction and Fixation in Orthopedic Trauma.骨科创伤的微创复位与固定
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