目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响.方法:选取2021 年9 月至2022 年9 月丰城市中医院收治的髌骨下极骨折患者40 例,按照随机数字表法分为对照组和试验组,每组20 例.两组患者均给予切开复位内固定,对照组给予间断垂直钢丝缝合联合张力带治疗,试验组给予四黄散联合间断垂直钢丝缝合加张力带治疗.观察两组患者术后 6 周、3 个月、6 个月、1 年及末次随访时膝关节疼痛评分、屈伸活动范围(range of motion,ROM)、Bostman 评分、骨折愈合时间、各项临床指标及并发症发生情况.结果:试验组术后6 周、3 个月、6 个月、1 年膝关节疼痛评分均低于对照组,差异有统计学意义(P<0.05).试验组术后6 周、3 个月、6 个月、1 年ROM、Bostman 评分高于对照组,差异有统计学意义(P<0.05).试验组术后 1 年骨折愈合时间、各项临床指标均优于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:四黄散联合间断垂直钢丝缝合加张力带能改善髌骨下极骨折患者膝关节功能,降低术后并发症发生率,促进骨折早日愈合.
Objective:To observe the influence of Four Yellow Powder combined with discontinuous vertical steel wire suture plus tension band on knee joint activity and fracture healing time in patients with infrapatellar fracture.Methods:A total of 40 patients with infrapa-tellar fractureadmitted to Fengcheng Hospital of Traditional Chinese Medicine from September 2021 to September 2022 were selected and divided into the control group and the experimental group according to the random number table method,with 20 cases in each group.Both groups were first given open reduction and internal fixation.Then the control group was additionally given discontinuous ver-tical steel wire suture plus tension band treatment,while the experimental group was additionally given Four Yellow Powder combined with discontinuous vertical steel wire suture combined with tension band treatment.The knee joint pain score,range of motion(ROM),Bostman score,fracture healing time,various clinical indexes and complications of the two groups were observed respectively at the 6th week,the 3rd month,the 6th month,one year and the last follow-up after operation.Results:The knee joint pain score of the experimen-tal group was lower than that of the control group at the 6th week,the 3rd month,the 6th month,one year after operation,with statistical-ly significant differences(P<0.05).The ROM and Bostman score of the experimental group were higher than those of the control group at the 6th week,the 3rd month,the 6th month,one year after operation,with statistically significant differences(P<0.05).The fracture healing time and clinical indexes of the experimental group were better than those of the control group one year after operation,and the incidence of complications was lower than that of the control group,with statistically significant differences(P<0.05).Conclu-sion:Four Yellow Powder combined with discontinuous vertical steel wire suture plus tension band can improve the knee function of pa-tients with infrapatellar fracture,reduce the incidence of postoperative complications,promote early fracture healing.
丁永军;龚素萍;杨威;涂世杰
丰城市中医院,江西 丰城 331100
中医学
四黄散;髌骨下极骨折;间断垂直钢丝缝合;张力带;膝关节活动度;骨折愈合时间
Four Yellow Powder;infrapatellar fracture;discontinuous vertical steel wire suture;tension band;knee joint range of motion;fracture healing time
《河南中医》 2024 (004)
582-585 / 4
江西省卫生健康委员会科技计划项目(20204209)
10.16367/j.issn.1003-5028.2024.04.0109
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