聚髌器与改良张力带治疗髌骨粉碎性骨折疗效比较  

TREATMENT OF COMMINUTED PATELLAR FRACTURE BY PATELLAR CONCENTRATOR AND BY MODIFIED TENSION BAND: A Therapeutic-effect Comparison

作　　者：曾平[1] 廖小波[1] 黄海滨[1] 欧伦[1] 

机构地区：[1]广西中医学院第一附属医院,南宁530023

出　　处：《中医正骨》2005年第9期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为比较两种不同内固定方式在治疗髌骨粉碎性骨折中的临床疗效,将60例病人采用随机分组方法分成两组,分别采用镍钛记忆合金聚髌器(Niti-PatellarConcentratorNT-PC)(A组)和改良张力带钢丝内固定(B组)治疗,并对手术时间、术后骨折复位情况、骨折愈合时间、术后功能锻炼开始时间、膝关节屈曲达到90°的时间、手术后膝关节功能完全恢复时间及术后的并发症等结果进行比较。结果显示A组在手术时间、术后膝关节功能锻炼开始时间、膝关节屈曲达到90°和完全恢复的时间及骨折愈合的时间均早于B组,术后骨折复位比B组好(P<0.05),手术后无并发症。表明治疗髌骨粉碎性骨折NT-PC比改良张力带钢丝内固定有更广泛的适应症与更理想的效果。In order to compare the clinical therapeutic effects of two different internal fixing methods in the treatment of comminuted patellar fracture (CPF), 60 cases of CPF were randomly divided into Group A and Group B, which were treated by Niti-patellar concentrator (NITI-PC) and by modified tension band wires, respectively; and the results of the two groups were compared, including the fracture healing, post-operative fracture reduction, the time of operation, fracture healing, post-operative functional-exercises beginning, 90 °-knee-flexion recovery and post-operative knee-function complete recovery, and post-operative complications, etc. The results showed that Group A had better fracture reduction and fracture healing, earlier time of the surgery, post-operative functional-exercises beginning, 90 °-knee-flexion recovery and fracture healing than the ones of Group B but no post-operative complications, suggesting that NITI-PC has more indications and more rational result than the modified tension band wire fixation.

关 键 词：髌骨粉碎性骨折 治疗 骨折固定术 镍钛记忆合金聚髌器 改良张力带钢丝 对比研究 

分 类 号：R687.3[医药卫生—骨科学]