髌骨侧方腱膜丝线缝合加NT—PC治疗髌骨粉碎性骨折

The Experience of Comminuted Patellar Fracture Treated with Aponeurosis Sutured with Silk Thread at Side of Patellar Combined Nitinol Poly Patellar Device

目的:探讨髌骨侧方腱膜丝线缝合加镍钛合金聚髌器(NT—PC)治疗髌骨粉碎性骨折的体会。方法:采用髌前横弧形切口,整复髌骨粉碎性骨折,用10#丝线行髌骨侧方骨折块间断缝合固定,再用NT—PC固定骨折端,早期进行功能锻炼。结果:治疗髌骨粉碎性骨折98例,骨折均获得骨性愈合,膝关节功能好,优良率96.9%。结论:髌骨侧方腱膜丝线缝合加NT—PC治疗髌骨粉碎性骨折,手术操作简便,不仅保留了髌骨,又能牢固固定骨折端,便于早期功能锻炼,疗效确切。

Objective：To research the experience of treating comminuted patellar fracture with aponeurosis sutured with silk thread at side of patellar We reducted comminuted patellar fracture with combined nitinol poly patellar device：（ NT - PC ）. Method： anterier patellar transverse taint er incision,then fixed the patellar fracture by discontinuous suture with 10^# silk thread. In the mean whole NT - PC were appllied early function training exercises were adopted. Result ：98 cases comminuted patellar fracture were bone union. The better rate of knee joint was 96.9% ,There＇s good joint function. Conclusion：There＇s effective in treating comminuted pateUar fracture with aponeurosis sutured with silk thread at side ,of patellar combined nitinol poly patellar device. It has the advantages of convinient to operate, keep the patellar whole,with better fixation of fracture site, early functiontraining for patients.