镍钛聚髌器治疗髌骨粉碎性骨折疗效分析

Observe the Effect of NT-PC in Treatment of Smashing Patella Fractures

目的研究镍钛聚髌器治疗髌骨粉碎性骨折的疗效。方法采用镍钛聚髌器术治疗髌骨粉碎性骨折38例,采用克氏针+钢丝环扎术治疗52例。结果随访7-18个月,平均12个月,90例均获骨性愈合,膝关节功能正常。功能疗效评估采用胥少汀等的膝关节功能综合评价标准,镍钛聚髌器组优34例,良3例,中1例;克氏针+钢丝环扎组优35例,良13例,中4例。结论利用镍钛聚髌器内固定治疗髌骨粉碎性骨折有着操作简单、复位满意、固定稳定,可早期功能锻炼等特点,其优良率显著高于克氏针+钢丝环扎法。

Objective： To study the NT-PC treatment of smashing patella fractures. Methods： Use of orthopedic surgery patients treated 38 cases of smashing patella fractures with the NT-PC. Use of orthopedic surgery patients treated 52 cases of smashing patella fractures with kirschner ＋ wire cerclage. Results： After 7-18 months, 90 patients healed fractures and knee function was normal. Functional efficacy of knee function was assessed using XU Shao-ting evaluation criteria： the NT-PC group results showed excellent in 34 cases, good in 3 cases, medium in 1 case; the Kirschner ＋ wire cerclage group results showed excellent in 34 cases, good in 3 cases, medium in 1 case. Conclusion： Using the NT-PC as a smashing patella fractures fixation, with a simple, satisfactory reduction, stable fixation, and early functional exercise. The good rate than the kirschner ＋ wire cerclage. significantly higher