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镍钛聚髌器结合钢丝环扎固定治疗粉碎性髌骨骨折
Hits: 2501   Download times: 1512   Received:August 26, 2008    
作者Author单位UnitE-Mail
谭红略 TAN Hong-lüe 江苏大学附属常州武进医院骨科,江苏 常州 213000 Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China hnlc.love@163.com 
钱臣 QIAN Chen 江苏大学附属常州武进医院骨科,江苏 常州 213000 Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China  
赵金坤 ZHAO Jin-kun 江苏大学附属常州武进医院骨科,江苏 常州 213000 Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China  
石岩 SHI Yan 江苏大学附属常州武进医院骨科,江苏 常州 213000 Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China  
周琦 ZHOU Qi 江苏大学附属常州武进医院骨科,江苏 常州 213000 Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China  
期刊信息:《中国骨伤》2009年22卷,第2期,第128-130页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨镍钛聚髌器结合钢丝环扎固定治疗髌骨粉碎性骨折的临床疗效。

方法:2004年3月至2007年6月,采用镍钛聚髌器结合钢丝环扎固定治疗38例髌骨粉碎性骨折,男25例,女13例;年龄21~64岁,平均42.5岁;均为粉碎有移位骨折,其中碎骨块3块16例、4块14例、5块及以上8例;合并其他部位骨折8例。随访期间评价患者膝关节功能及并发症情况。

结果:经8~24个月(平均15个月)随访,骨折均骨性愈合。术后无内固定松动,发生膝关节创伤性滑膜炎2例。按Lysholm-Gillquist膝关节评价标准:优17例,良19例,可2例。

结论:镍钛聚髌器结合钢丝环扎固定具有复位满意、固定可靠、患者可早期进行功能锻炼,是治疗髌骨粉碎性骨折的理想选择方式之一。
[关键词]:髌骨  骨折,粉碎性  内固定器
 
Treatment of comminuted patellar fractures with internal Ni-Ti patellar concentrator and tension bind wire fixation
Abstract:

Objective: To study the clinical efficacy of the treatment of comminuted patellar fractures with internal NiTi-Patellar concentrator and tension bind wire fixation.

Methods: From March 2004 to June 2007,38 cases of fresh comminuted patellar fractures were treated with internal NiTi-Patellar concentrator and tension bind wire fixation. There were 25 males and 13 females,ranging from 21 to 64 years (mean 42.5 years). All were comminuted fractures with displacement,16 cases were 3 fragments,14 cases were 4 fragments,8 cases were 5 fragments. There were other fractures in 8 cases. During followed-up, knee function and complications were evaluated.

Results: All patients were followed up for 8 to 24 months(mean 15 months) and obtained complete bone union. No case of implant was loosening and fragment displacement, traumatic arthritis occured in 2 cases. Under Lysholm & Gillquist score,the results were excellent in 17 cases,good in 19,fair in 2.

Conclusion: Internal NiTi-Patellar concentrator and tension bind wire fixation is one of the ideal methods for the treatment of comminuted patellar fracture,which could provide satisfied reduction,reliable fixation and good functional recovery.
KEYWORDS:Patella  Fractures,comminuted  Internal fixators
 
引用本文,请按以下格式著录参考文献:
中文格式:谭红略,钱臣,赵金坤,石岩,周琦.镍钛聚髌器结合钢丝环扎固定治疗粉碎性髌骨骨折[J].中国骨伤,2009,22(2):128~130
英文格式:TAN Hong-lüe,QIAN Chen,ZHAO Jin-kun,SHI Yan,ZHOU Qi.Treatment of comminuted patellar fractures with internal Ni-Ti patellar concentrator and tension bind wire fixation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(2):128~130
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