带尾孔针结合钛缆张力带内固定治疗髌骨骨折

Taft hole needle combined with titanium cable tension band fixation for the treatment of patella fracture

目的探讨带尾孔针结合钛缆张力带内固定治疗髌骨骨折的临床疗效。方法对35例髌骨骨折患者，采用带尾孔针结合钛缆张力带内固定。结果35例患者获得随访6～24个月，平均11个月。切口均Ⅰ期愈合。骨折均愈合，愈合时间4～10周，平均6周。按Bostman髌骨骨折疗效评价标准评定疗效：优30例，良5例，优良率100％（35／35）。无骨折移位、内固定松动或断裂、切口感染等并发症。结论带尾孔针结合钛缆张力带内固定治疗髌骨骨折，手术方法简单，固定牢固，并发症少，膝关节功能恢复好。

Objective To investigate the clinical effect of tail hole needle combined with titanium cable tension band fixation for the treatment of patellar fracture. Methods Thirty-five patients with patella fracture were treated with the tail hole needle combined with titanium cable tension band fixation. Results All 35 patients were followed up for 6 - 24 months,average 11 months. The incisions were stage Ⅰ heal. Fractures were healed,the healing time was 4 -10 weeks, average 6 weeks. The patients were evaluated according to the Bostman knee functional score standard：excellent in 30 cases, good in 5 cases, the excellent and good rate was 100% （35/35）. There was no complication such as fracture displacement, internal fixation loosening or fracture,infection of incision,etc. Conclusion The tail hole needle combined with titanium cable tension band fixation is simple, firm fixation,less complications and good functional recovery of knee joint for the treatment of patella fracture.