空心拉力螺钉钢丝张力带治疗老年人髌骨体部横行骨折

Treatment of Patellar Transverse Fracture on Old Patients with the Technique of Cannulated Compression Srews Combined with Tension Band

目的：探讨空心拉力螺钉钢丝张力带技术的的适应证、操作要点及注意事项,评价其治疗老年人髌骨体部横行骨折的疗效。方法：于2008~2011年采用空心拉力螺钉钢丝张力带手术治疗36例老年人髌骨体部横行骨折。结果：骨折全部愈合,无内固定松动、断裂或骨折错位现象发生,术后膝关节功能恢复良好。结论：空心拉力螺钉钢丝张力带治疗老年人髌骨体部横行骨折固定牢固,有利于膝关节功能早期恢复,并发症少。

Objective：To probe the indication,technical points and considerations of the cannulated compression srews combined with tension band,and to evaluate its efficacy in treating patellar transverse fracture of the old patients.Methods：36 Old patients of patellar transverse fracture were treated with the technique of cannulated compression srews combined with tension band,and the clinical response were observed.Results：The fracture were cured with favourable kneejoint function,without looseness or breakdown of internal fixation.Conclusion：The technique had the advantage of firm internal fixation,faster rehabilitation of kneejoint function and less complications when treating patellar transverse fracture of the old patients.