镍钛聚髌器与张力带内固定治疗髌骨骨折疗效对比研究  

Comparison of nitinol patellar reductor and tension-band fixation in the treatment of patients with patella fracture.

作　　者：童立苗[1] 张显 

机构地区：[1]中国人民解放军第一〇二医院骨科,江苏常州213003 [2]江阴市璜土医院外科,江苏江阴214445

出　　处：《海南医学》2013年第17期2517-2519,共3页Hainan Medical Journal

摘　　要：目的镍钛聚髌器与张力带内固定在髌骨骨折中的应用效果。方法 92例髌骨骨折患者随机分为观察组与对照组,每组46例,观察组给予镍钛聚髌器内固定治疗,对照组给予张力带内固定术治疗,比较两组治疗效果。结果两组患者膝关节功能恢复优良率、骨折愈合时间比较差异无统计学意义(P>0.05);但观察组手术时间及术后患者下床活动时间均显著短于对照组(P<0.01),术后1年并发症发生率为2.1%(1/46)显著低于对照组的19.6%(9/46)(P<0.01)。结论镍钛聚髌器与张力带内固定术在髌骨骨折的治疗疗效相当,但镍钛聚髌器内固定术手术时间短,术后患者下床活动早,术后并发症发生率低,值得推广。Objective To compare the clinical effects of nitinol patellar reductor and tension-band fixation in the treatment of patients with patella fracture. Methods Ninety-two patients with patella fracture were randomly di- vided into the observation group （n=46） and the control group （n=46）. The observation group were treated with nitinol patellar reductor, and the control group were treated with tension-band fixation. Then the clinical effects were contrast- ed between the two groups. Results There was no statistically significant difference in the excellent rate of the knee function and fracture healing time between the two groups （P〉0.05）; the operative time and postoperative ambulation time were significantly shorter in the observation group than the control group （P〈0.01）; the incidence of postopera- tive complications of the observation group was 2.1% （1/46）, significantly lower than 19.6% （9/46） in the control group （P〈0.01）. Conclusion Nitinol patellar reductor and tension-band fixation have similar clinical effects in pa- tients with patellar fracture, but there is shorter operative time, faster postoperative recovery, less post-operative com- plications in nitinol patellar reductor, which is worthy of promotion.

关 键 词：镍钛聚髌器 张力带 髌骨骨折 

分 类 号：R683.42[医药卫生—骨科学]