بررسی نتایج درمان جراحی شکستگی کشکک زانو

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Associate professor of orthopedics,orthopedic research center,School of medicine,Mazandaran university of medical science, Sari, Iran

2 Medical Doctor of Shafa clinic in Babol,Graduated from Mazandaran university of medical science, Sari, Iran.

3 Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.

چکیده
چکیده:
زمینه و هدف: کشکک، بزرگ‌ترین استخوان سزاموئید بدن، در اکستانسیون زانو نقش کلیدی دارد و به عنوان یک عایق در برابر آسیب‌ها عمل می‌کند. شکستگی کشکک حدود یک درصد از شکستگی های بدن را تشکیل می دهد. هدف این مطالعه بررسی نتایج جراحی شکستگی کشکک و عوامل مؤثر بر آن در یک بازه زمانی ده ساله است، با توجه به اینکه شکستگی کشکک تنها حدود یک درصد از کل شکستگی‌های بدن را تشکیل می‌دهد.
مواد و روش‌ها: در این مطالعه توصیفی-همبستگی، بیماران بر اساس زمان پس از جراحی به دو گروه زیر ۵ سال و بالای ۵ سال تقسیم شدند. عملکرد زانو، درد و دامنه حرکتی با شاخص‌های استاندارد ارزیابی شد.
یافته‌ها: از ۵۳ بیمار (میانگین سنی ۶۰.۴۵ ± ۱۶ سال؛ ۹۰.۶٪ مرد)، ۶۲.۳٪ پیگیری زیر ۵ سال و ۳۷.۷٪ بالای ۵ سال داشتند. ارتباط معناداری بین عوارض درمانی و آرتروز مشاهده شد ( p < 0.05). عملکرد زانو در بیماران بدون عارضه به‌طور معناداری بهتر و درد آن‌ها کمتر بود ( p < 0.05).
نتیجه‌گیری: این مطالعه نشان‌دهنده اثربخشی و نتایج بالینی مثبت انواع جراحی شکستگی کشکک به عنوان یک روش درمان مناسب در پیگیری میان‌مدت است. با وجود نسبت محدود بیماران نیازمند جراحی مجدد به دلیل عوارض جزئی، نتایج مثبتی در این تحقیق گزارش شد.

کلیدواژه‌ها

موضوعات

عنوان مقاله English

Outcomes of Surgical Treatment for Patellar Fracture

نویسندگان English

Salman Ghafari 1
Amirhossein Azizpour 2
Abolfazl Ghadiri 3
1 Associate professor of orthopedics,orthopedic research center,School of medicine,Mazandaran university of medical science, Sari, Iran
2 Medical Doctor of Shafa clinic in Babol,Graduated from Mazandaran university of medical science, Sari, Iran.
3 Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
چکیده English

Abstract
Introduction: The patella has an important role in knee extension and shock absorption. This retrospective study assessed factors influencing surgical outcomes of patellar fractures over ten years at a single center.
Methods: A descriptive-correlational design was applied to patellar fracture cases treated at a university center over a decade. Patients were stratified into follow-ups of <5 or ≥5 years. Data included demographics, medical history, functional outcomes (Koo’s and WOMAC indices), pain, range of motion, and osteoarthritis severity (Kallgren/Lawrence classification). Census sampling was used. Analyses were performed in SPSS, with visualizations in Excel and GraphPad Prism.
Results: Among 53 patients (mean age 60.45 ± 16.00; 90.6% male), 62.3% had <5-year and 37.7% had ≥5-years follow-up. Follow-up duration did not correlate with outcomes. Treatment complications significantly correlated with degenerative arthritis. Functional scores were higher (p < 0.05) and pain scores lower (p < 0.05) in patients without complications.
Conclusion: Patellar fracture surgery yielded favorable mid-term outcomes, with complications linked to poorer function and higher pain. Reoperation rates were low, supporting surgical efficacy.

کلیدواژه‌ها English

Patella
bone fractures
Fracture Fixation
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