髌骨骨折治疗中对张力带原理的误解
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作者Author单位AddressE-Mail
王利明 WANG Li-ming 浙江中医药大学第一临床医学院,浙江 杭州 310053  
崔永锋 CUI Yong-feng 杭州萧山区第一人民医院骨科,浙江 杭州 311201 Xiaoshan First People's Hospital,Hangzhou 311201,Zhejiang,China guke120@hotmail.com 
期刊信息:《中国骨伤》2010年,第23卷,第2期,第125-127页
DOI:10.3969/j.issn.1003-0034.2010.02.015
基金项目:
中文摘要:克氏针张力带是治疗髌骨骨折的首选治疗方法,但张力带原理却一直被错误解读。传统张力带原理认为张力带通过功能锻炼使骨折块的分离力转化压应力。但偏心固定和关节面开裂是其最大缺点,在静息和运动时都会使骨块分离,形成没有压力的裂隙。功能锻炼并不能使骨折块的分离力转化为压应力。
【关键词】髌骨  骨折  骨固定钢丝  张力带
 
Misunderstanding about the tension band principle in the treatment of patella fractures
ABSTRACT  Kirschner's wire tension band was the first choice in the treatment of patella fracture. But the principle of tension band had been misunderstood for long time. In the traditional principle,it was believed that tension band could change the separating force between fracture fragments into compressing stress when exercising. Eccentric fixation and articular surface cracking were disadvantageous. These could make the fracture fragments separate either at resting or exercising,which cause the gaps without pressure. Thus excercising could not change the separating force into compressing stress.
KEY WORDS  Patella  Fractures  Bone wires  Tesion band
 
引用本文,请按以下格式著录参考文献:
中文格式:王利明,崔永锋.髌骨骨折治疗中对张力带原理的误解[J].中国骨伤,2010,23(2):125~127
英文格式:WANG Li-ming,CUI Yong-feng.Misunderstanding about the tension band principle in the treatment of patella fractures[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):125~127
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