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经皮缝合治疗髌骨骨折
Hits: 2129   Download times: 1301   Received:June 16, 2007    
作者Author单位UnitE-Mail
毕宏政 BI Hong-zheng 文登整骨医院骨伤研究所,山东 文登 264400 Wendeng Orthopedic and Traumatic Hospital,Wendeng 264400,Shandong,China bhz1971@yahoo.com.cn 
王晓光 WANG Xiao-guang 文登整骨医院骨伤研究所,山东 文登 264400 Wendeng Orthopedic and Traumatic Hospital,Wendeng 264400,Shandong,China  
杨茂清 YANG Mao-qing 文登整骨医院骨伤研究所,山东 文登 264400 Wendeng Orthopedic and Traumatic Hospital,Wendeng 264400,Shandong,China  
期刊信息:《中国骨伤》2008年21卷,第3期,第215-216页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨髌股固定缝合法治疗髌骨骨折的临床疗效。

方法:采用克氏针经皮行髌骨上极与股骨髁部固定,再经皮穿针及经皮缝合固定骨折断端的方法治疗髌骨骨折23例,男17例,女6例;年龄18~73岁,平均32.4岁。采用B?stman临床评分标准对其疗效进行评定。

结果:23例获得随访,时间6~38个月,平均11个月。所有骨折均达解剖或近解剖复位并骨性愈合,按B?stman疗效标准:优秀20例,良好3例。

结论:采用髌股固定缝合治疗髌骨骨折,具有创伤小、并发症少、骨折对位准确、关节功能恢复好、无手术瘢痕影响美观等优点。
[关键词]:髌骨  骨折  骨折固定术  缝合技术
 
Percutaneous suture in the treatment of patellar fracture
Abstract:

Objective: To study therapeutic effects of patella and femur fixation combined with percutaneous suture in the treatment of patellar fractures.

Methods: In the study,23 patients with patellar fractures were treated with percutaneous Kirschner-pin transfixation and percutaneous suture after Kirschner pins transfixation of superior pole of patellar and condyle of femur. Among the patients,17 patients were male and 6 patients were female,ranging in age from 18 to 73 years(mean 32.4 years). The therapeutic effects were evaluated according to B?stman criterion for patellar fracture.

Results: All the patients were followed up and ranged from 6 to 38 months(mean 11 months). All the fractures were anatomically reduction or near-anatomical reduction. According to B?stman criterion for patellar fracture,20 were excellent and 3 good.

Conclusion: The method of patella and femur fixation combined with suture for patellar fractures has such advantages as smaller invasion,less complication or sequel,fine reduction of fracture,good restoration of joint function and none operative cicatrix.
KEYWORDS:Patella  Fractures  Fracture fixation  Suture techniques
 
引用本文,请按以下格式著录参考文献:
中文格式:毕宏政,王晓光,杨茂清.经皮缝合治疗髌骨骨折[J].中国骨伤,2008,21(3):215~216
英文格式:BI Hong-zheng,WANG Xiao-guang,YANG Mao-qing.Percutaneous suture in the treatment of patellar fracture[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(3):215~216
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