Interrupted Vertical Non-Absorbable Sutures Combined with Nis Knots in the Treatment of Inferior Pole Patella Fractures

Jin JIA; Kaiyu HOU; Zhong CHEN; Xingxi HU; Changyou ZHENG; Junliang JIANG

doi:10.12259/j.issn.2095-610X.S20220505

Volume 43 Issue 5

May 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(5): 76-82

Jin JIA, Kaiyu HOU, Zhong CHEN, Xingxi HU, Changyou ZHENG, Junliang JIANG. Interrupted Vertical Non-Absorbable Sutures Combined with Nis Knots in the Treatment of Inferior Pole Patella Fractures[J]. Journal of Kunming Medical University, 2022, 43(5): 76-82. doi: 10.12259/j.issn.2095-610X.S20220505

Citation:

Jin JIA, Kaiyu HOU, Zhong CHEN, Xingxi HU, Changyou ZHENG, Junliang JIANG. Interrupted Vertical Non-Absorbable Sutures Combined with Nis Knots in the Treatment of Inferior Pole Patella Fractures[J]. Journal of Kunming Medical University, 2022, 43(5): 76-82. doi: 10.12259/j.issn.2095-610X.S20220505

Citation:

Jin JIA, Kaiyu HOU, Zhong CHEN, Xingxi HU, Changyou ZHENG, Junliang JIANG. Interrupted Vertical Non-Absorbable Sutures Combined with Nis Knots in the Treatment of Inferior Pole Patella Fractures[J]. Journal of Kunming Medical University, 2022, 43(5): 76-82. doi: 10.12259/j.issn.2095-610X.S20220505

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Interrupted Vertical Non-Absorbable Sutures Combined with Nis Knots in the Treatment of Inferior Pole Patella Fractures

doi: 10.12259/j.issn.2095-610X.S20220505

Dept. of Orthopedics and Trauma Surgery, The Affiliated Hospital of Yunnan University, Kunming Yunnan 650021, China

Received Date: 2021-12-23
Available Online: 2022-05-06
Publish Date: 2022-05-27

Abstract

Abstract

Objective To Explore the technical points and clinical efficacy of interrupted vertical non-absorbable sutures combined with nis knots in the treatment of inferior patellar pole fractures. Methods A total of 22 patients admitted to the Department of Bone and Trauma Surgery of the Affiliated Hospital of Yunnan University from January 2016 to December 2020 with intermittent vertical non-absorbable sutures combined with nice knot treatment for inferior pole patella fractures were selected as the observation group, while 21 patients who were treated with a wire tension band with a knot needle at the same time were selected as the control group, and the technical points were elaborated and the clinical efficacy was comprehensively evaluated according to the index of each group. Results （1）The operating time, intraoperative bleeding and fracture healing time in the observation group were significantly shorter than those in the control group（P < 0.05）. （2） Knee mobility（1, 3, and 6 months after the surgery） was greater in the observation group than that in the control group（P < 0.05）; Lysholm score（1, 3, 6, and 12 months after the surgery） and KSS score（1, 3, and 6 months after thesurgery） were higher in the observation group than those in the control group（P < 0.05）; （3） None of the cases in the observation group had anterior knee pain, while there were 12 cases in the control group; End-stage knee at follow-up Bostman score excellent rate（100%） was significantly higher in the observation group than that in the control group（95.23%）. Conclusion Intermittent vertical non-absorbable sutures in combination with nis knots for the treatment of inferior pole patella fractures can avoid the use of metallic materials, have the advantages of less soft tissue irritation, simple and easy operation, short time-consuming, less bleeding, firm fixation, good postoperative functional recovery. Therefore, there is no need for the secondary operation to remove the long-term implant and have the excellent clinical application value.
- Inferior pole patella fracture,
- Non-absorbable suture,
- Nice knot,
- Tension band

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References(30)

References

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