摘要
目的探讨三种不同手术方法治疗髌骨粉碎性骨折的临床疗效。方法58例髌骨粉碎性骨折患者的资料分析及随访，分别行克氏针张力带、钢丝环扎、镍钛聚髌器3种手术方式治疗。并对其及治疗效果作分析对比。结果58例患者，随访时间6月～5年。所有骨折均临床愈合，平均愈合时间4．5月，以术后不同时期膝关节功能和X线检查综合判断疗效。钢丝克氏针张力带固定（9例）、环扎固定（16例）、镍钛聚髌器固定（33例），术后优良率分别为68．8％、44．4％、90．9％。结论镍钛聚髌器用于粉碎性骨折的治疗，避免了髌骨部分或全部切除，固定牢固，可以早期进行功能锻炼，最大限度保存膝关节功能，是目前理想的内固定方法。
Objective To investigate the clinical outcome of operative treatment on smashing patellar fracture by internal fixative methods. Methods According to the information and records from 58 patients of patella fracture who were cured with steel bind,tension band wiring and nickel titanium patella concentrator（ NT- PC）, analysis and comparison for the treatment of 3 types of patella fracture and the relevant curative effects was made. Results Fifty - eight patients were visited regularly for 6 months to 5 years. All cases healed over. The curative effects are judged by the functions of the patients＇ knee joints and the results of X - ray examinations in different periods after operation, the excellent and good rates of steel bind（ 16 cases） ,tension band wiring（9 cases） and NT - PC（33 cases） were respectively 68.8% ,44.4% ,90.9%. Conclusions NT - PC was used to treat smashing patellar fracture. It could avoid entire or part patellar excision and remain the function of knee joint extremely. It is the most ideal method on the treatment of smashing patellar fracture.
出处
《医学信息（手术学分册）》
2007年第4期311-313,共3页
Medical Information Operations Sciences Fascicule
关键词
内固定
髌骨骨折
镍钛-聚髌器
fracture of patellar
internal fixation
NT - PC
