三种不同内固定法治疗髌骨骨折82例临床疗效的分析  

Analysis on the Clinical Efficacy of Three Internal Fixations on 82 Patients with Patella Fracture Treated

作　　者：张小虎 唐超雄 陈小华 邓钦民 雷振衡 曾志华 彭耀金[2] 

机构地区：[1]湖南省常宁市中医医院,湖南常宁421500 [2]湖南师范大学医学院,湖南长沙410013

出　　处：《现代生物医学进展》2012年第25期4899-4902,共4页Progress in Modern Biomedicine

基　　金：湖南师范大学青年科学基金项目

摘　　要：目的:观察三种不同内固定法治疗髌骨骨折82例临床疗效及安全性。方法:将82例髌骨骨折患者随机分成三组,其中30人接受双克氏针钢丝环绕法治疗,髌骨周缘环形缝扎处理21例,31人应用镍钛聚髌器治疗。从手术时间、优良率、愈合时间、手术费用及并发症等指标进行评价。结果:三种内固定方法治疗髌骨骨折组的手术时间差异无统计学意义(P>0.05),镍钛聚髌器组的愈合时间、手术费用及术后并发症与双克氏针钢丝环绕法组及髌骨周缘环形缝扎处理组相比,差异具有统计学意义(P<0.05);镍钛聚髌器治疗髌骨粉碎性骨折的优良率与其它两组相比,差异具有统计学意义(P<0.05);三种方法治疗髌骨横断性骨折的优良率相互比较差异无统计学意义。结论:双克氏针钢丝环绕法、髌骨周缘环形缝扎法及镍钛聚髌器法都可以被采纳治疗髌骨横断性骨折;在治疗髌骨粉碎性骨折优先采用镍钛聚髌器法。Objective： To explore the clinical efficacy and safety of three internal fixation ways on 82 patients with patella fracture treated.Methods： 82 patients with patella fracture were randomly divided into the Wire winding two Kirschner group（WWK group）,the annular suture of Patellar margin group（ASPM group） and Nitinol Patellar group（NTP group）.30 patients were treated by Wire winding two Kirschner,21 patients were treated by annular suture of Patellar margin,and 31patients were cured in Nitinol Patellar group.We as-sessed the clinical efficacy and safety according to operation time,union time,complications,operation cost and excellent and good rate.Results： There is no statistical difference in the operation time of the three internal fixations（P 0.05）.In comparison of the union time,operation cost and the complications.There is significantly statistical difference among the three groups（P 0.05）.The excellent and good rate of the curing comminuted patella fracture is significant higher in NTP group than WWK group and ASPM group（P0.05）;there is no statistical difference in treating transverse patella fracture when comparing the excellent and good rate among the three internal fixa-tions（P0.05）.Conclusion： All of the Wire winding two Kirschner,annular suture of Patellar margin and Nitinol Patellar can be used to treat the patella fracture;Nitinol Patellar is more effective and excellent to treat the comminuted patella fracture.

关 键 词：髌骨骨折 双克氏针钢丝环绕法 髌骨周缘环形缝扎 镍钛聚髌器 

分 类 号：R683.42[医药卫生—骨科学]