| 髌骨粉碎性骨折3种固定方式比较分析 |
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投稿时间：2010-08-22
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| 作者 | Author | 单位 | Address | E-Mail |
| 于治涛 |
YU Zhi-tao |
自贡恒博医院骨科, 四川 自贡 643000 |
Department of Orthopaedics, Hengbo Hospital of Zigong, Zigong 643000, Sichuan, China |
frddyy@163.com |
| 余俊东 |
YU Jun-dong |
自贡恒博医院骨科, 四川 自贡 643000 |
Department of Orthopaedics, Hengbo Hospital of Zigong, Zigong 643000, Sichuan, China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第4期，第319-321页 |
| DOI：10.3969/j.issn.1003-0034.2011.04.015 |
| 基金项目: |
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中文摘要:
目的：通过对比髌骨粉碎性骨折不同固定方法的临床疗效, 为髌骨粉碎性骨折的治疗提供选择依据。
方法：2003年2月至2009年6月采用3种固定方式治疗56例髌骨粉碎性骨折, 其中采用克氏针钢丝固定(A组)18例, 男9例, 女9例；年龄32～52岁, 平均(47.62±4.82)岁；丝线环扎配合石膏固定(B组)13例, 男3例, 女10例；年龄38～65岁, 平均(48.58±8.28)岁；记忆合金聚髌器固定(C组)25例, 男9例, 女16例；年龄32～68岁, 平均(48.36±9.59)岁。按改良Böstman评估标准, 对3组的膝关节活动度、疼痛、行走、上楼梯等8个方面进行评分比较。
结果：所有病例获随访, 时间8～26个月, 平均15.6个月, 骨折全部愈合。A、B、C组Böstman评分的总平均分分别为(26.00±4.16)、(22.08±5.31)、(26.44±3.77)分, A、C组评分优于B组。
结论：克氏针钢丝或聚髌器固定治疗髌骨粉碎性骨折, 固定牢靠, 功能恢复佳, 疗效满意。 |
| 【关键词】髌骨 骨折，粉碎性 骨折固定术，内 石膏，外科 |
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| Comparison of clinical effects for three methods in treating comminuted patellar fractures |
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ABSTRACT
Objective: To compare clinical effects of different fixations in order to provide the best therapeutic choice for comminuted patellar fractures.
Methods: From February 2003 to June 2009, 56 patients with comminuted patellar fractures were treated with three methods of fixation. Of them, 18 patients(group A) were treated with Kirschner-wire with steel wire fixation, there were 9 males and 9 females, ranging in age from 32 to 52 years with an average of (47.62±4.82) years;13 patients (group B) with circular silk thread fixation and plaster immobilization, there were 3 males and 10 females, ranging in age from 38 to 65 years with an average of(48.58±8.28) years;25 patients (group C) with memory alloy patella holder fixation, there were 9 males and 16 females, ranging in age from 32 to 68 years with an average of (48.36±9.59) years. According to criteria of Böstman, eight indexes were compared, including the range of motion of the knee, pain, walking and so on.
Results: All patients were followed up from 8 to 26 months with an average of 15.6 months. All the fractures healed. The Böstman scoring of group A, B, C were respectively 26.00±4.16, 22.08±5.31, 26.44±3.77. The clinical effects of group A and C were better than that of group B(P<0.05).
Conclusion: The method of Kirschner-wire with steel wire fixation or memory alloy patella holder fixation can obtain satisfactory effects in treating comminuted patellar fractures because of steady fixation and early function recovery. |
| KEY WORDS Patella Fractures, comminuted Fractures fixation, internal Casts, surgical |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 于治涛,余俊东.髌骨粉碎性骨折3种固定方式比较分析[J].中国骨伤,2011,24(4):319~321 |
| 英文格式: | YU Zhi-tao,YU Jun-dong.Comparison of clinical effects for three methods in treating comminuted patellar fractures[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(4):319~321 |
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