髌骨骨折修复:空心钉张力带及钢丝内固定的比较  

Patella fracture repair: Cannulated screw tension band versus steel wire fixation

作　　者：赵航[1] 肖海军[1] 

机构地区：[1]上海市第六人民医院奉贤区中心医院骨科,上海市201400

出　　处：《中国组织工程研究》2013年第52期9089-9094,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:空心钉张力带钢丝内固定是治疗髌骨骨折最常用的内固定方法。目的:评价空心钉张力带钢丝联合应用内固定治疗髌骨骨折的效果。方法:应用文献检索的方法获取空心钉张力带钢丝内固定治疗髌骨骨折的相关研究文献,对符合研究标准的文献进行深入的数据分析。对应用空心钉张力带钢丝内固定治疗髌骨骨折的患者进行观察随访,评估治疗后骨折愈合情况、并发症发生情况以及患侧膝关节的功能恢复情况,明确空心钉张力带钢丝内固定髌骨骨折的效果。结果与结论:文献研究中结果显示,空心钉张力带钢丝联合应用内固定治疗髌骨骨折后,骨折愈合良好,螺钉或钢丝松动、断裂、脱落等并发症发生概率较低,患侧膝关节功能恢复评估可达90%以上。临床应用病例分析中结果显示,空心钉张力带钢丝联合应用内固定治疗髌骨骨折可获得良好的治疗效果,患侧膝关节功能恢复评估达90%以上,与文献研究中的结果一致。表明空心钉张力带钢丝联合应用内固定治疗髌骨骨折是理想可靠的方法之一。BACKGROUND：Cannulated screw tension band combined with wire fixation is most commonly used for treatment of patel a fractures. OBJECTIVE：To evaluate the clinical outcomes of combination of cannulated screw tension band and wire fixation in the treatment of patel a fractures. METHODS：A literature search method was employed to retrieve relevant articles addressing cannulated screw tension band and wire fixation of patel a fractures. In-depth analysis of literatures meeting the study criteria was carried out. Patients with patel a fractures who received cannulated screw tension band and wire fixation were fol owed up to evaluate the postoperative fracture healing, complications and functional recovery of the knee joint at the injury side. Then, the clinical efficacy of cannulated screw tension band combined with wire fixation was analyzed. RESULTS AND CONCLUSION：After treatment with cannulated screw tension band and wire fixation, patients with patel a fractures exhibited good fracture healing and low probability of complications, including screw or wire loosening, broken, and shedding. Functional recovery of the affected knee was up to 90%. Clinical case analysis showed that cannulated screw tension band combined with wire fixation achieved good outcomes in the treatment of patel a fracture, with over 90%functional recovery of the affected knee, which is consistent with the reported results. It indicates that the cannulated screw tension band combined with wire fixation is one of the ideal and reliable methods in use for internal fixation of patel a fractures.

关 键 词：骨关节植入物 骨与关节学术探讨 髌骨骨折 粉碎性骨折 内固定 空心钉 张力带 钢丝 克氏针股 四头肌 骨折移位 

分 类 号：R318[医药卫生—生物医学工程]