摘要
目的:提出有移位髌骨骨折的术中分型及分型标准,探讨其与内固定方法的选择。方法:通过对332 例有移位髌骨骨折患者的手术观察,按术中骨折部位及骨折块碎裂大小程度,将其分为Ⅰ~Ⅴ种类型,根据术中分型选择合理的内固定方法。结果:术后随访6 个月~7 年,按宁氏疗效评定标准评定,优良率达91 % 。结论:有移位髌骨骨折的术中分型及分型标准具有全面、准确、简明和实用等优点,利于术中内固定方法的选择及预后判定,具有重要临床意义。
Objective: To set up a classification for displaced patellar fracture in surgical operation,and discuss the selection of internal fixations.Methods:Based on the observation in 332 patients in surgical operation,the displaced patellar fractures were classed into I to V types according to the site and comminution of the fracture,then a suitable intenal fixation methods were selected for each type.Results: The patients were followed up from 6 months to 7 years.According to Ning's evaluation standards,excellent and good rate was 91%.Conclusion: This classification for displaced patellar fractures is simple,correct and feasible for selection of internal fixation and evaluation of the prognsis,and also has an important significance for clinical application.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第1期24-26,共3页
Orthopedic Journal of China
关键词
髌骨骨折
术中分型
内固定术
Patellar fracture Surgical classification Internal fixation