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髌骨骨折治疗中对张力带原理的误解

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作者	Author	单位	Unit	E-Mail
王利明	WANG Li-ming	浙江中医药大学第一临床医学院,浙江杭州 310053
崔永锋	CUI Yong-feng	杭州萧山区第一人民医院骨科,浙江杭州 311201	Xiaoshan First People's Hospital,Hangzhou 311201,Zhejiang,China	guke120@hotmail.com

期刊信息：《中国骨伤》2010年23卷，第2期，第125-127页

DOI：10.3969/j.issn.1003-0034.2010.02.015

克氏针张力带是治疗髌骨骨折的首选治疗方法，但张力带原理却一直被错误解读。传统张力带原理认为张力带通过功能锻炼使骨折块的分离力转化压应力。但偏心固定和关节面开裂是其最大缺点，在静息和运动时都会使骨块分离，形成没有压力的裂隙。功能锻炼并不能使骨折块的分离力转化为压应力。

[关键词]:髌骨骨折骨固定钢丝张力带

Misunderstanding about the tension band principle in the treatment of patella fractures

Abstract:Kirschner's wire tension band was the first choice in the treatment of patella fracture. But the principle of tension band had been misunderstood for long time. In the traditional principle,it was believed that tension band could change the separating force between fracture fragments into compressing stress when exercising. Eccentric fixation and articular surface cracking were disadvantageous. These could make the fracture fragments separate either at resting or exercising,which cause the gaps without pressure. Thus excercising could not change the separating force into compressing stress.

KEYWORDS:Patella Fractures Bone wires Tesion band

引用本文，请按以下格式著录参考文献：

中文格式:	王利明,崔永锋.髌骨骨折治疗中对张力带原理的误解[J].中国骨伤,2010,23(2):125~127
英文格式:	WANG Li-ming,CUI Yong-feng.Misunderstanding about the tension band principle in the treatment of patella fractures[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):125~127

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