分体式髌骨爪结合丝线内固定治疗髌骨骨折的疗效分析  

The Split Patella Binding Thread Internal Fixation of the Patella Fracture Efficacy Analysis

作　　者：卢水生 严胜军 黄夏雨 庄强 熊军委 

机构地区：[1]江西省景德镇市中医院,江西景德镇333000

出　　处：《中国医学创新》2013年第34期5-7,共3页Medical Innovation of China

摘　　要：目的：分析分体式髌骨爪结合丝线内固定治疗髌骨骨折的疗效。方法：选取本院2012年1-12月收治的80例髌骨骨折患者为研究对象，其中2012年1-6月的40例患者行其他传统内固定术，2012年7-12月的40例患者行分体式髌骨爪结合丝线内固定术，术后对患者的恢复情况进行随访，对两组治疗结果进行对比。结果：对80例患者随访6个月后，所有患者受伤部位得到愈合，恢复时间平均为4-10个月，其中采用分体式髌骨爪结合丝线内固定法的患者恢复的优良率为92.5%，明显高于传统内固定术的67.5%，差异有统计学意义（P〈0.01）。分体式髌骨爪结合丝线内固定法出现不良反应的例数明显少于传统克氏针内固定法，且平均愈合时间明显少于传统克氏针内固定法，比较差异均有统计学意义（P〈0.05）。结论：采用分体式髌骨爪结合丝线内固定治疗髌骨骨折比传统的内固定术具有更好的疗效，有利于患者髌骨相关功能的恢复。Objective：To analyze the efficacy of using split patella combination of silk and internal fixation in patellar fracture.Method：Eighty patients with patellar fractures were selected in our hospital from January 2012 to December 2012 for the study,and 40 patients from January 2012 to June 2012 were treated with other conventional fixation,while 40 patients from July 2012 to December 2012 were treated with split patella fixation combined with silk.Postoperative recovery of the patient follow-up and treatment outcomes for the two groups were observed and compared.Result：After 6 months of follow-up,all patients were treated.And the average recovery time was 4 to 10 months,the recovery rate of the patients using split patella combined with thread fixation was 92.5%,it was higher than the traditional fixation for 67.5%,the difference was statistically significant（P〈0.01）. The adverse reaction number of the patients using split patella combined with thread fixation was obviously less than that with traditional Kirschner internal fixation method,and the average healing time was significantly less than that with traditional Kirschner internal fixation method,there were statistically significant differences（P〈0.05）.Conclusion：Using the split patella combination of silk fixation for the treatment of patellar fracture has better efficacy than conventional internal fixation,it is conducive to the patient’s patella recovery.

关 键 词：分体式髌骨爪结合丝线 髌骨骨折 传统内固定术 

分 类 号：R687.3[医药卫生—骨科学]