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丝线环形及“8”字内固定加双圈缝扎治疗髌骨骨折
Hits: 2133   Download times: 1247   Received:October 13, 2005    
作者Author单位UnitE-Mail
刘庆忠 LIU Qing-zhong 广州市荔湾区骨伤科医院,广东广州510140 The Orthopaedics Hospital of Liwan District,Guangzhou 510140,Guangdong,China  
向树明 XIANG Shu-ming 广州市荔湾区骨伤科医院,广东广州510140 The Orthopaedics Hospital of Liwan District,Guangzhou 510140,Guangdong,China  
凌志平 LING Zhi-ping 广州市荔湾区骨伤科医院,广东广州510140 The Orthopaedics Hospital of Liwan District,Guangzhou 510140,Guangdong,China  
期刊信息:《中国骨伤》2006年19卷,第6期,第335-337页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨采用粗丝线环形及“8”字内固定加双圈缝扎治疗髌骨骨折的临床疗效。

方法:从1998年7月-2004年8月采用此法治疗47例闭合性髌骨骨折,男34例,女13例;年龄23~78岁,平均53岁。其中,横断骨折21例,粉碎性骨折23例,下极骨折2例,上极骨折1例。

结果:随访1~5年,采用陆裕朴等评定标准评价疗效,优38例,占80.8%;良7例,占14.9%;可2例,占4.3%;无差的病例,总优良率达95.7%。

结论:此种内固定方法尽可能地保留髌骨及软组织的完整性,最大程度地恢复髌骨的3个重要的生物力学功能,具有固定效果确切、临床疗效满意、操作简单、易于推广的优点。
[关键词]:髌骨  骨折  骨折固定术,内
 
Thick suture fixation in circle and “8” shape combined with double circular suturing for the treatment of patellar fracture
Abstract:

Objective:To explore the therapeutic effects of thick suture fixation in circle and “8” shape combined with double circular suturing for the treatment of patellar fracture.

Methods:.From July 1998 to August 2004,47 patients with closed patellar fracture(male 34 and female 13,ranging in age from 23 to 78 years,with an average of 53 years) were treated with thick suture fixation in circle and “8” shape combined with double circular suturing.Among the patients,21 patients were transverse fracture,23 patients were comminuted fracture,2 patients were fracture of lower pole,and 1 patient was fracture of upper pole.

Results:The follow-up period ranged from 1 to 5 years after operation.According to Lu’s evaluating criteria,38 patients (80.8%) reached excellent results,7(14.9%) good,2(4.3%) fair,and no poor.The excellent and good rate was 95.7%.

Conclusion:This internal fixation method is effective to keep whole structure of patella with its surrounding tissue,and recover three biomechanical function of patella to high extent,indicating that the method has the advantages of reliable fixation,satisfactory therapeutic effect,simple operation and being spreadeasily.
KEYWORDS:Patella  Fractures  Fracture fixation,internal
 
引用本文,请按以下格式著录参考文献:
中文格式:刘庆忠,向树明,凌志平.丝线环形及“8”字内固定加双圈缝扎治疗髌骨骨折[J].中国骨伤,2006,19(6):335~337
英文格式:LIU Qing-zhong,XIANG Shu-ming,LING Zhi-ping.Thick suture fixation in circle and “8” shape combined with double circular suturing for the treatment of patellar fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(6):335~337
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