记忆合金髌骨爪结合钢丝环扎治疗髌骨骨折

Clinical Application of Memory-Alloyed Patella Claw Combined with Steel Wire Cerclage in Treatment of Comminute Fracture of Patella Inferior Pole

目的探讨记忆合金髌骨爪结合钢丝环扎治疗髌骨骨折的疗效。方法回顾分析2007年1月-2012年3月采用记忆合金髌骨爪结合钢丝环扎治疗髌骨骨折46例的临床治疗方法及效果。结果全组病例经1~4年随访,骨折全部愈合,愈合时间3~6个月,膝关节功能优良率95.6%。无切口感染、排斥反应、髌骨爪断裂、松脱等并发症发生。结论记忆合金髌骨爪结合钢丝环扎治疗髌骨骨折可进行膝关节早期功能锻炼,有利于骨折愈合及膝关节功能的恢复,值得临床推广应用。

Objectives To discuss therapeutic effect on comminute fracture of patella inferior pole by memory-alloyed patel- la claw combined with steel wire cerclage. Methods The clinical treatment and effect of 46 cases on comminute fracture of patella inferior pole by memory-alloyed patella claw combined with steel wire eerclage from January 2007 to March 2012 were reviewed and analyzed. Results All fractures were healed after 1 to 4 years＇ follow-up,with healing time from 3 to 6 months and 95.6% recovery rate of knee joint function. No complications such as infection of incisional wound, reject reaction, or rupture and casting off occurred. Conclusions It is good for treatment of comminute fracture of patella inferior pole by memory-alloyed patella claw combined with steel wire cerclage which can early start functional training of knee joint, accelerate fracture healing and recover knee joint function, thus worth clinical proposing and adopting.