镍钛聚髌器与张力带内固定治疗髌骨骨折疗效对比分析  

Comparison of Nitinol Patellar Reductor and Tension-Band Fixation in Treatment of Patients with Patella Fracture

作　　者：李伟[1] 张世权[1] 刘安庆[1] 郝敏[1] 谭纪锋[1] 贺艳[1] 陈幕芬 

机构地区：[1]广东省深圳市第二人民医院骨科,广东深圳518000

出　　处：《河北医学》2014年第7期1095-1098,共4页Hebei Medicine

基　　金：广东省深圳市科技计划项目;(编号:201103117)

摘　　要：目的:对比镍钛聚髌器与张力带内固定在髌骨骨折患者中的临床效果。方法:80例髌骨骨折患者随机分为观察组与对照组,每组40例,观察组给予镍钛聚髌器治疗,对照组给予张力带内固定治疗,对比两组临床效果及术后并发症等。结果:两组患者治疗后膝关节功能优良率无显著差异(P>0.05);观察组在手术时间以及术后下床活动时间方面均显著优于对照组(P<0.01),同时观察组术后并发症发生率显著低于对照组(P<0.05),但两组术后骨折愈合时间无显著差异(P>0.05)。结论:镍钛聚髌器与张力带内固定术在髌骨骨折患者中的应用具有相似的临床效果,但镍钛聚髌器明显缩短了手术时间,术后恢复较快,且术后并发症较少,值得推广。Objective：To study the clinical effects of nitinol patellar reductor and tension-band fixation in the treatment of patients with patella fracture .Method：80 patients with patella fracture were randomly divided into observation group and control group , the observation group were treated with nitinol patellar reductor , and the control group were treated with tension-band fixation , then the clinical effects were contrasted between the two groups .Result：There was no significantly difference in excellent rate of the knee function and fracture healing time between the two groups （ P〉0.05）;the operative time and postoperative ambulation time in the observation group were significantly shorter than the control group （ P〈0.01）; and the incidence of postoperative complications of the observation group was significantly lower than the control group （ P〈0. 05）.Conclusion：Nitinol patellar reductor and tension-band fixation have similar clinical effects in patients with patellar fracture , but nitinol patellar significantly shortered the operative time , postoperative recovery faster, and less post-operative complications , it’ s worthy of promotion .

关 键 词：镍钛聚髌器 张力带 髌骨骨折 

分 类 号：R687.3[医药卫生—骨科学]