间接复位、经皮股骨髁万向锁定板倒置治疗股骨转子间及转子下骨折  

Internal fixation with W-shaped Kirschner wire combined tension band in treatment of patellar fracture

作　　者：张智长[1] 王韬[1] 陆男吉[1] 罗从风[1] 曾炳芳[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《临床骨科杂志》2011年第2期157-159,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨间接复位、经皮股骨髁万向锁定板倒置治疗股骨转子间及转子下骨折治疗效果。方法对28例股骨转子间及转子下骨折患者,均采用牵引床间接复位、穿皮股骨髁万向锁定板倒置固定。结果 28例均获得随访,时间5-11个月。骨折愈合时间为3-6个月。无肢体短缩、髋内翻等并发症。结论对外侧壁粉碎或反斜行骨折、髓腔过细不适合髓内固定、假体周围骨折等股骨转子间及转子下骨折,采用间接复位、股骨髁万向锁定板倒置固定效果良好。Objective To investigate the clinical efficacy of internal fixation with W-shaped Kirschner wire combined tension band to treat patellar fracture.Methods 38 cases of patellar fractures were fixed with W-shaped Kirschner wire combined tension band after anterior exposure and reduction.Results 38 patients were followed up for 8 to 24 months.All the patients achieved healing and the surface of patellar resumed smooth without Kirschner wire loosening and breakage.Acording to Lysholm standard,excellent result was found in 36 cases,and good in 2.Conclusions Fixation patellar with W-shaped Kirschner wire combined tension band to treat patellar fracture overcomes the complications because of the Kirschner wires revolve to wound skin and influence the recovery of function.It has advantages of easy to operate,small operation wound,firmly fixation,which permits movement early and meet the biomechanical principles.The results are satisfactory.

关 键 词：万向锁定钢板 倒置 股骨骨折 间接复位 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]