多针网络式支架复位技术在髌骨粉碎性骨折治疗中的临床应用  

Treatment of comminuted patellar fracture with bracket reposition of multi-needle network style

作　　者：韩裕[1] 李大志[1] 吴友科[1] 李庆奇[1] 莫健超[1] 刘宝[1] 张玉宏 

机构地区：[1]广东省肇庆医学高等专科学校附属医院骨科,526020 [2]山西省榆次市人民医院骨科

出　　处：《中国医药》2009年第3期199-200,共2页China Medicine

摘　　要：目的评价多针网络式支架复位技术在髌骨粉碎性骨折治疗中的临床效果。方法将1989年1月至2007年1月65例粉碎性髌骨骨折患者按手术方式分为2组：对照组19例，采用切开复位粗丝线环形缝扎法固定；实验组46例，应用多枚克氏针网络式支架复位技术，再辅以改良张力带钢丝加钢丝环扎固定。观察术后是否外固定、开始功能锻炼时间及活动度、活动后关节是否疼痛、肿胀及优良率。结果实验组与对照组的优良率分别为98％和10％。实验组未出现明显手术并发症，关节活动度效大，开始功能锻炼的时间也较短，与对照组相比，差异有统计学意义（P〈0．05）。结论应用多针网络式支架复位技术治疗髌骨粉碎性骨折是一种易行、效果良好的手术方法。Objective To evaluate the effect of treating comminuted patellar fracture with bracket reposition with multi-needle network style. Methods Sixty-five cases of comminuted patellar fracture from 1989 to 2007 were divided into two groups. 19 cases in control group were treated with incision and reposition and fixed with thick silk thread; 46 cases in operation group were treated by bracket reposition with multi-needle network style and were fixed with improved tension zone steel wire and circular binding with steel wire. Results The rate of choiceness was 10% and 98% respectively between two groups （ P 〈 0.05 ）. Conclusion The bracket reposition with multi-needle network style is easy and effective for treating comminuted patellar fracture.

关 键 词：髌骨粉碎骨折 多针网络式支架 

分 类 号：R683.42[医药卫生—骨科学]