应用改良张力带钢丝内固定治疗髌骨骨折

Application of Internal Fixation Using Improved Tension Band and Steel Wire in Patellar Fracture

目的 探讨应用改良张力带钢丝内固定治疗髌骨骨折的临床疗效。方法 应用 2枚克氏针将解剖复位的髌骨上下贯穿固定后 ,另用 2枚钢丝分别将紧张克氏针固定 ,术后早期功能锻炼 ,随访 6～ 12个月。结果 所有骨折均解剖复位 ,并于 8周内临床愈合 ,膝关节功能优良率为 92 %。结论 改良张力带钢丝内固定治疗髌骨骨折确切可靠 。

Objective To study the curative effect of internal fixation using improved tension band and steel wire in patellar fracture. Methods With 2 Kirschner pin to fix fracture patella after anatomic reduction, the adding 2 pieces of steel wires to fasten Kirschner pin steadily. Postoperatively rehabilitation was applied earlier and all cases were followed up for 6～12 months. Results All the fractures were approached anatomic reduction and skeletal cure in 8 weeks. the fine and good rate of knee function was 92%. Conclusion The internal fixation using improved tension band and steel wire could treat patellar fracture reliably and clinical curative effect were excellent.