线缆张力带内固定治疗髌骨粉碎性骨折

doi:10.16260/j.cnki.1009-2188.2017.04.0011

中国现代手术学杂志

2017, Vol. 21

Issue (4): 288-291 DOI: 10.16260/j.cnki.1009-2188.2017.04.0011

临床论著

线缆张力带内固定治疗髌骨粉碎性骨折

何家雄，吴征杰，曾焰辉，李灿辉

广州中医药大学附属佛山市中医院骨科，广东佛山 528000

Internal Fixation of Cable Tension Band for Comminuted Patellar Fractures

HE Jia-xiong,WU Zheng-jie,ZENG Yan-hui,LI Can-hui

Department?of?Orthopaedics，Foshan?Hospital?of?Traditional?Chinese?Medical?Hospital,Foshan528000,Guangdong,China

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摘要目的探讨应用多方向多根克氏针结合线缆张力带内固定治疗髌骨粉碎性骨折的临床疗效。方法回顾性分析2012年1月～2015 年1月126例髌骨粉碎性骨折患者的临床资料，根椐Regazzoni分类：B3型73例，C2型40例，C3型13例。其中，63例行线缆张力带内固定治疗(研究组)，63例行传统钢丝张力带内固定，比较两组疗效。结果研究组患者平均骨折愈合时间为(9.02±4.01)周，短于对照组(12.52±4.39)周，骨折愈合率为100%，高于对照组55.56%，差异均有统计学意义(P<0.05)。随访12个月，根据Bostman髌骨功能评分评定疗效：研究组优50例，良13例，对照组优38例，良15例，差10例；研究组优良率高于对照组(100% VS 84.13%)，差异有统计学意义(P<0.05)。两组患者术后均未出现严重并发症。结论多方向多根克氏针结合线缆张力带内固定治疗髌骨粉碎性骨折，可使受累关节面可固定的骨折碎块得到相对稳定的固定，对软组织的损伤较小，有利于早期关节功能锻炼，并有效防止了骨折块再移位，是治疗髌骨粉碎性骨折的一种有效、可靠、方便的方法。

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关键词: 髌骨骨折骨折固定术，内张力带克氏针

Abstract: ObjectiveTo explore the clinical effect of internal fixation of multi-directions and multi-wires combined with cable tension band for the treatment of comminuted patellar fracture.MethodsThe clinical data of 126 cases with comminuted patellar fractures admitted from January 2012 to January 2015 was retrospective analyzed, including 73 cases of B3, 40 of C2 and 13 of C3 according to Regazzoni classification. 63 cases as the study group were treated by internal fixation of cable tension band, and the other 63 cases as the control group were performed the internal fixation of traditional steel wire tension band. The therapeutic effect was compared between two groups.ResultsThe average fracture healing time was (9.02±4.01) weeks of the study group, and it was shorter than (12.52±4.39) weeks of the control group(P<0.05). The total fracture healing rate of the study group was 100%, and it was higher than 55.56% of the control group (P<0.05). According to Bostman patella scoring, the result revealed 50 of excellence and 13 of good in the study group, and 38 of excellence, 15 of good and 10 of false in the control group. The fineness rate was higher in the study group than that in the control group (100% VS 84.13%,P<0.05). There were no postoperative complications in two groups.ConclusionThe internal fixation of multi-directions and multi-wires combined with cable tension band can achieve metastable fixation of fractured bones on involved articular facet, mini-trauma of soft tissue, and early functional exercise and prevention of fractured bones re-shifting, and it is an effective, reliable and convenient therapy for comminuted patellar comminuted fracture.

Key words: patella fractures fracture fixation, internal tension band Kirschner wire

出版日期: 2017-08-26 发布日期: 2018-05-15 期的出版日期: 2017-08-26

ZTFLH:

R683.42|R687.4

通讯作者: 何家雄，男，48岁，广州中医药大学附属佛山市中医院骨科副主任医师。

作者简介: 何家雄，男，48岁，广州中医药大学附属佛山市中医院骨科副主任医师。

引用本文:

何家雄，吴征杰，曾焰辉，李灿辉. 线缆张力带内固定治疗髌骨粉碎性骨折[J]. 中国现代手术学杂志, 2017, 21(4): 288-291.
HE Jia-xiong,WU Zheng-jie,ZENG Yan-hui,LI Can-hui. Internal Fixation of Cable Tension Band for Comminuted Patellar Fractures. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 288-291.

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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.04.0011 或 http://www.surgerychina.com/CN/Y2017/V21/I4/288

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