髌骨骨折内固定方法的选择

The choice of the methods of Patella fracture fixation

目的 探讨克氏针钢丝张力带与镍钛聚髌器内固定治疗不同类型髌骨骨折的临床疗效。方法对22例髌骨骨折进行术后随访、分析，比较两种治疗方法的临床效果。结果两种方法治疗效果差异无统计学意义（优良率分别为88％、86％），髌骨横型骨折采用克氏针张力带固定满意，而髌骨粉碎性骨折宜采用镍钛聚髌器固定。结论不同类型的髌骨骨折应根据手术指征选择不同的内固定方法。

Objective To investigate clinical efficaey of the Kirschner wire and nickel-titanium tension band fixation of patellar different types of patellar fracture. Methods 22 cases of patellar fractures were followed up, analyzed. Two methods of clinical treatment were compared. Results There was no significant difference between two methods of treatment. Transverse patella fractures with Kirschner wire tension band fixation was satisfied, but comminuted fracture of patella should adopt the nickel-titanium poly patella fixation. Conclusion Different types of patella fractures should be based on surgical indication to select different method of internal fixation.