摘要
目的 探讨钢缆（cable）环扎加改良张力带治疗粉碎性髌骨骨折的疗效。方法回顾性分析120例粉碎性髌骨骨折患者应用钢缆环扎加改良张力带内固定（cable组，55例）与镍钛合金．聚髌器（NT．PC）内固定（NT-PC组，65例）的临床疗效。结果所有病例随访10—38（19．50±1．15）个月，骨折均于12周内愈合。两组手术时间、术中出血量、住院时间、骨折愈合时间、术后并发症比较差异元统计学意义（P〉0．05）。术后cable组Bostman评分（27．0±0．2）分，明显优于NT-PC组的（2S．1±0．6）分（P〈0．05）。结论应用钢缆环扎加改良张力带治疗粉碎性髌骨骨折操作方便，疗效优良。
Objective To discuss the effect of operations for comminuted patella fractures with cable cerclage and revised tension band. Method Retrospective study of clinical effects of 120 patella fractures cases which used cable（cable group,55 cases） or NT-PC（NT-PC group,65 cases） to internal fix. Results At 10 to 38（19.50 ±1.15） months follow-up, all cured well in 12 weeks. Compared with the operative time, the amount of blood loss, length of hospitalization, time for cure, the incidence of complications, there were no significant differences between two groups （P〉 0.05）. The Bostman score of cable group [（27.0 ± 0.2） scores] was better than that of NT-PC group [ （25.1 ± 0.6） scores] （P 〈 0.05）. Conclusion Using cable cerclage and revised tension band to internal fix for comminuted patella fractures, the operations are facile and the results are satisfactory.
出处
《中国医师进修杂志》
2010年第26期13-15,共3页
Chinese Journal of Postgraduates of Medicine
关键词
髌骨
骨折
粉碎性
钢缆
环扎
改良张力带
Patella
Fractures, comminuted
Cable
Cerclage
Revised tension band
