| 五角网缝合术治疗髌骨骨折 |
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Received:March 06, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 汤晓正 |
TANG Xiao-zheng |
江西省人民医院骨科,江西南昌330006 |
Department of Orthopaedics,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China |
tangxiaozheng@ medmai.lcom.cn |
| 胡建民 |
HU Jian-min |
铅山县人民医院骨科 |
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| 余坤民 |
YU Kun-min |
弋阳县人民医院骨科 |
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| 何佩生 |
HE Pei-sheng |
铅山县人民医院骨科 |
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| 刘亚云 |
LIU Ya-yun |
江西省人民医院骨科,江西南昌330006 |
Department of Orthopaedics,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China |
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| 胡联英 |
HU Lian-ying |
江西省人民医院骨科,江西南昌330006 |
Department of Orthopaedics,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China |
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| 黄海根 |
HUANG Hai-gen |
上高县中医院骨科 |
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| 龚飞鹏 |
GONG Fei-peng |
江西省人民医院骨科,江西南昌330006 |
Department of Orthopaedics,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China |
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| 李宇旭 |
LI Yu-xu |
江西省人民医院骨科,江西南昌330006 |
Department of Orthopaedics,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China |
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| 期刊信息：《中国骨伤》2007年20卷，第11期，第741-743页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨一种操作简单、疗效可靠的治疗髌骨骨折手术方式。
方法:髌骨骨折患者56例,男40例,女16例;年龄18～82岁。右侧骨折33例,左侧23例。横断骨折28例,粉碎骨折24例,撕脱型骨折4例。伤后至手术时间3h～7d。术中显露髌骨,复位,巾钳临时固定,采用双股可吸收缝线编织一个五角星,呈网状置于髌骨前,用丝线穿过五角星之5个角,做双半环髌骨周围缝合,固定髌骨。
结果:56例髌骨骨折术后随访6～45个月,平均16.2个月,骨折均愈合。按Bostman髌骨骨折疗效评价标准,优秀45例,良好11例。
结论:五角网缝合术治疗髌骨骨折,具有操作简单、固定牢固、术后可早期活动、康复快、疗效确切、无须二次手术取内固定等优点。 |
| [关键词]:髌骨 骨折 缝线 外科手术 |
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| Treatment of patellar fracture with five-pointed star lattice sutures |
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Abstract:
Objective:To explore a simple and effective procedure of operation for treating the patellar fracture.
Methods:Of 56 patellar fractures,there were 40 males and 16 females,ranging in age from 18 to 82 years.Thirty-three patellar fractures occurred on the right extremities and 23 on the left.There were 28 transfractures,24 comminuted fractures and 4 torn fractures in the group.The operation time was from 3 hours to 7 days after injury.At first,the broken patella was exposed,reduced and clipped with the pliers temporarily in the operation,then a five-pointed star woven with two absorbable sutures was put on the broken patella,two semi-circular sutures around the patellar edge were made with Mersilk sutures which was through five points of the five-pointed star.When two Mersilk sutures were pulled and knotted,the five-pointed star was also stretched and the broken patella was fixed firmly.This internal fixation skill named five-pointed star lattice sutures belong to in tension band fixation.
Results:Fifty-six patients of patellar fractures were treated with the method and followed-up for 6 to 45 months(average 16.2 months).All patellar fractures were union.Forty-five patients were regarded as excellent and 11 good according to Bostman score.
Conclusion:Treatment of patellar fracture with five-pointed star lattice sutures have characteristic of simple operation,reliable fixation,early movement,speedy recovery,satisfactory outcome,no operation again for removing internal fixture,et al. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 汤晓正,胡建民,余坤民,何佩生,刘亚云,胡联英,黄海根,龚飞鹏,李宇旭.五角网缝合术治疗髌骨骨折[J].中国骨伤,2007,20(11):741~743 |
| 英文格式: | TANG Xiao-zheng,HU Jian-min,YU Kun-min,HE Pei-sheng,LIU Ya-yun,HU Lian-ying,HUANG Hai-gen,GONG Fei-peng,LI Yu-xu.Treatment of patellar fracture with five-pointed star lattice sutures[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(11):741~743 |
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