Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 254-257 DOI: 10.16260/j.cnki.1009-2188.2018.04.004? |
| Clinical Research |
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| The Clinical Curative Effect Comparison of "AO" Tension Band in the Treatment for Patellar Fractures of Rockwood Ⅱand Ⅲ#br# |
| WEN Lei1， DU Jun2， LIU Hongbin1#br#
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1.Department of Orthopedics Surgery，the 97th Hospital of PLA，Xuzhou 221004，Jiangsu，China; 2. the First People's Hospital of Chuzhou, Chuzhou 239000， Anhui, China
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Abstract Abstract:ObjectiveTo evaluate and analyze the efficacy of different treatments of "AO" tension band for patella fractures of Rockwood Ⅱ and Ⅲ.MethodsThere were 100 cases with Rockwood Ⅱ and Ⅲ patellar fractures were enrolled in this study in our hospital during October 2013 to October 2017. They were incompletely randomly divided into group A (the observation group), group B (the observation group), group C (the control group), and group D (the control group). Group A was treated with a "8" steel cable and perforated Kirschner and group B was treated with a "0" steel cable and perforated Kirschner. Group C was treated with an "8" steel wire and Kirschner wire and group D was treated with a "0" steel wire and Kirschner wire. The function of knee joint activity, fracture healing time and the complication rate were compared among different groups.ResultsAll the patients were followed up. There was no significant difference in knee activity function and patella fracture healing time（P>0.05）. The incidence of postoperative complications in the control groups were higher than that in the observation groups, and the differences were statistically significant(P<0.05).ConclusionsThe inner fixations of common Kirschner wires, steel wire tension bands, perforated Kirschner wires, and the steel cable all have advantages of simple procedure and short learning curve, which can be used for Rockwood Ⅱ and Ⅲ patellar fractures with good effect. Moreover, there are fewer complications after the operation of perforated Kirschner wire and steel cable, which is suitable for the promotion in the primary hospitals.
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Published: 23 October 2018
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