【摘要】 [目的]比较爱惜邦缝线与钢丝张力带固定髌骨骨折的临床效果。[方法]回顾性分析2015年11月—2021年12月本科收治的41例髌骨骨折患者。根据医患沟通结果，23例采用缝线张力带固定（缝线组），18例采用钢丝张力带固定（钢丝组）。比较两组围手术期、随访结果及影像资料。[结果]两组手术时间[(58.0±2.0) min vs (57.2±2.3) min, P>0.05]、切口总长度[(7.8±0.3) cm vs (8.0±0.5) cm, P>0.05]、术中失血量[(60.4±2.0) ml vs (55.6±2.4) cm, P>0.05]、切口愈合[甲/乙/丙,(22/1/0) vs (16/2/0),P>0.05]以及住院时间[(11.0±0.6) d vs (12.5±0.7) d, P>0.05]的差异均无统计学意义。两组患者平均随访（17.2±1.0）个月，两组恢复完全负重时间差异无统计学意义（P>0.05）。随时间推移，两组患者VAS评分显著减少（P<0.05），而Kujala评分、Lysholm评分、Bostman评分和膝伸-屈ROM均显著增加（P<0.05），相应时间点两组间上述指标的差异均无统计学意义（P>0.05）。影像方面，两组骨折复位质量、Insall-Salvati指数、骨折愈合时间的差异均无统计学意义（P>0.05）。[结论]爱惜邦缝线张力带固定髌骨骨折可以获得与钢丝张力带相当的临床疗效，且具有良好的安全性。爱惜邦缝线张力带有可能替代传统钢丝张力固定。更多还原

【Abstract】 [Objective] To compare the clinical efficiency of Ethibond suture versus steel wire tension band for fixation of patellar fracture. [Methods] A retrospective study was conducted on 41 patients who received open reduction and internal fixation of patellar fracture in our department from November 2015 to December 2021. According to the doctor-patient communication, 23 patients had the fracture fixed with Ethibond suture tension band(the suture group), while the other 18 cases were with conventional steel wire tension band(the wire group). The perioperative period, follow-up results and imaging data of the two groups were compared. [Results] There were no significant differences between the two groups in terms of operation time [(58.0±2.0) min vs(57.2±2.3) min, P>0.05], the total length of incision [(7.8±0.3) cm vs(8.0±0.5) cm, P>0.05], intraoperative blood loss [(60.4±2.0) ml vs(55.6±2.4) ml, P>0.05], incision healing grade [A/B/C,(22/1/0)vs(16/2/0), P>0.05] and hospital stay [(11.0±0.6) days vs(12.5±0.7) day, P>0.05]. All of them were followed up for(17.2±1.0) months on a mean, and there was no significant difference in the time to return to full weight-bearing between the two groups(P>0.05). The VAS scores decreased significantly(P<0.05), while the Kujala, Lysholm and Bostman scores, as well as knee extensity-flexion ROM significantly increased over time in both groups(P<0.05), whereas which proved not statistically significant between the two groups at any time points accordingly(P>0.05). In terms of imaging, there were no significant differences in the fracture reduction quality, Insall-Salvati index and fracture healing time between the two groups(P>0.05). [Conclusion] The Ethibond suture tension band for fixation of patella fracture does achieve the same clinical efficacy as steel wire tension band fixation, with good safety. Therefore, the suture tension band may replace the traditional steel wire tension fixation.更多还原