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双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折
Hits: 2314   Download times: 407   Received:January 10, 2012    
作者Author单位UnitE-Mail
张生志 ZHANG Sheng-zhi 平凉市人民医院骨科,甘肃 平凉 744000 Department of Orthopedics,Pingliang People's Hospital,Pingliang 744000,Gansu,China plzsz58258@sohu.com 
张桂萍 ZHANG Gui-ping 平凉市人民医院骨科,甘肃 平凉 744000 Department of Orthopedics,Pingliang People's Hospital,Pingliang 744000,Gansu,China  
期刊信息:《中国骨伤》2012年25卷,第4期,第335-337页
DOI:10.3969/j.issn.1003-0034.2012.04.019


目的:观察双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折的临床疗效。

方法:自2004年6月至2011年6月,采用双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折86例,其中男48例,女38例;年龄19~75岁,平均42.5岁;左侧52例,右侧34例。86例患者均为粉碎性骨折,3个骨折块者25例,4个骨折块者32例,4个以上骨折块者29例。手术时间40~70 min.所有病例术后根据Böstman等髌骨骨折疗效评价标准进行评分。

结果:86例全部得到随访,时间3个月~6年,平均3.5年。Böstman评分总平均分(27.65±2.05)分,优78例,良8例。

结论:双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折具有手术简单、复位良好、固定稳定的优点,可早期进行锻炼,关节功能恢复满意。
[关键词]:髌骨  骨折,粉碎性  骨折固定术,内
 
Double-loop cerclage wire No.10 with the two-part patellar concertration for treatment of patellar comminuted fractures
Abstract:

Objective:To investigate the clinical effects of double-loop cerclage wire No.10 and the two-part patellar concertration for treatment of comminuted patellar fracture.

Methods:From June 2004 to June 2011,86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No.10 and the two-part patellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right,with 3 fracture pieces in 32 cases,4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Böstman patella fractures criteria in all patients.

Results:All patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Böstman score was (27.65±2.05). The outcome was excellent in 78 cases and good in 8 cases.

Conclusion:The double-loop cerclage wire No.10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity,good reduction,stable fixation,early functional exercise,and satisfactory functional recovery.
KEYWORDS:Patella  Fractures,comminuted  Fracture fixation,internal
 
引用本文,请按以下格式著录参考文献:
中文格式:张生志,张桂萍.双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折[J].中国骨伤,2012,25(4):335~337
英文格式:ZHANG Sheng-zhi,ZHANG Gui-ping.Double-loop cerclage wire No.10 with the two-part patellar concertration for treatment of patellar comminuted fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(4):335~337
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