镍钛聚髌器结合钢丝环扎固定治疗粉碎性髌骨骨折  

Treatment of comminuted patellar fractures with internal Ni-Ti patellar concentrator and tension bind wire fixation

作　　者：谭红略[1] 钱臣[1] 赵金坤[1] 石岩[1] 周琦[1] 

机构地区：[1]江苏大学附属常州武进医院骨科,江苏常州213000

出　　处：《中国骨伤》2009年第2期128-130,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨镍钛聚髌器结合钢丝环扎固定治疗髌骨粉碎性骨折的临床疗效。方法:2004年3月至2007年6月,采用镍钛聚髌器结合钢丝环扎固定治疗38例髌骨粉碎性骨折,男25例,女13例;年龄21～64岁,平均42.5岁;均为粉碎有移位骨折,其中碎骨块3块16例、4块14例、5块及以上8例;合并其他部位骨折8例。随访期间评价患者膝关节功能及并发症情况。结果:经8～24个月(平均15个月)随访,骨折均骨性愈合。术后无内固定松动,发生膝关节创伤性滑膜炎2例。按Lysholm-Gillquist膝关节评价标准:优17例,良19例,可2例。结论:镍钛聚髌器结合钢丝环扎固定具有复位满意、固定可靠、患者可早期进行功能锻炼,是治疗髌骨粉碎性骨折的理想选择方式之一。Objective ：To study the clinical efficacy of the treatment of comminnted patellar fractures with internal NiTi- Patellar concentrator and tension bind wire fixation. Methods：From March 2004 to June 2007,38 cases of fresh comminuted patellar fractures were treated with internal NiTi-Patellar concentrator and tension bind wire fixation. There were 25 males and 13 females, ranging from 21 to 64 years （mean 42.5 years）. All were comminuted fractures with displacement, 16 cases were 3 fragments, 14 cases were 4 fragments,8 cases were 5 fragments. There were other fractures in 8 cases. During followed-up, knee function and complications were evaluated. Results：All patients were followed up for 8 to 24 months （mean 15 months） and obtained complete bone union. No case of implant was loosening and fragment displacement, traumatic arthritis occured in 2 cases. Under Lyshohn ＆ Gillquist score, the results were excellent in 17 cases, good in 19, fair in 2. Conclusion：Internal Ni- Ti-Patellar concentrator and tension bind wire fixation is one of the ideal methods for the treatment of comminuted patellar fracture, which could provide satisfied reduction, reliable fixation and good functional recovery.

关 键 词：髌骨 骨折 粉碎性 内固定器 

分 类 号：R683.42[医药卫生—骨科学] R683.420.5[医药卫生—外科学]