Fixation with modified double-pulley anchor suture for Rockwood type Ⅱ patella fractures
10.3760/cma.j.cn115530-20250225-00080
- VernacularTitle:改良双滑轮锚钉缝合固定法治疗Rockwood Ⅱ型髌骨骨折的疗效分析
- Author:
Xiaokai LIU
1
;
Shaoqi TIAN
1
;
Pengyuan SU
1
;
Zhichao HAN
1
;
Hengxin ZHAO
1
;
Lanfeng DING
1
;
Yuanhe WANG
1
Author Information
1. 青岛大学附属医院关节外科，青岛 266071
- Publication Type:Journal Article
- Keywords:
Fractures, bone;
Fracture fixation, internal;
Suture anchors;
Kirschner wire;
Tension band
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(10):881-887
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of fixation with a modified double-pulley anchor suture in the treatment of Rockwood type Ⅱ patella fractures.Methods:A retrospective study was conducted to analyze the 60 patients with Rockwood type Ⅱ patellar fracture who had been admitted to Department of Joint Surgery, The Hospital Affiliated to Qingdao University between November 2021 and November 2023. The cohort included 31 males and 29 females, with an age of (53.5±10.4) years. According to the treatment methods, the patients were divided into a study group (28 cases) which was treated by traction reinforcement of the terminal anchor suture in addition to fixation with a double-pulley anchor suture, and a control group (32 cases) which was treated by the traditional Kirschner wire tension band technique. The operation time, intraoperative blood loss, incision length, reoperation rate, complication rate, fracture healing, and visual analog scale (VAS) pain scores and Bostman scores at postoperative 1 month, 3 months, and 6 months and at the last follow-up were compared between the 2 groups.Results:No statistically significant differences were observed in the preoperative general data between the 2 groups, indicating that the 2 groups were comparable ( P>0.05). All patients were followed up for (12.8±1.4) months postoperatively. The study group demonstrated significantly lower intraoperative blood loss [(25.9±6.8) mL] than the control group [(40.5±11.6) mL], and a significantly lower reoperation rate (0) than the control group [53.1% (17/32)] ( P<0.05). There was no statistically significant difference between the 2 groups in operation time, incision length, incidence of complications, as well as in VAS pain scores or Bostman scores at postoperative 1 month, 3 months, or 6 months or at the last follow-up (all P>0.05). Fractures healed in both groups at 6 months postoperatively. Conclusions:For patients with Rockwood type Ⅱ patellar fracture, fixation with modified double-pulley suture anchor can achieve good clinical efficacy. Compared to the traditional Kirschner wire tension band technique, the modified mothed significantly reduces intraoperative blood loss and avoids secondary trauma caused by a second surgery for implant removal.
