预剪断式髌骨针张力带微创治疗髌骨横断型骨折  

The minimally invasive treatment of patellar fracture using pre-cut patella tension band wire

作　　者：石通和 梁蓉 潘铭辉 陈荣庄 阮紫娟 周敏 徐栋梁[2] 

机构地区：[1]广东省东莞市企石医院骨外科,广东东莞523500 [2]中山大学附属第一医院骨科,广东广州510000

出　　处：《中国现代医生》2014年第18期138-141,共4页China Modern Doctor

基　　金：广东省东莞市科研基金项目(201310515000095)

摘　　要：目的探讨预剪断式带孔髌骨针联合张力带钢丝内固定微创治疗髌骨横断型骨折的临床疗效。方法采用预剪断式带孔髌骨针联合张力带钢丝内固定微创治疗髌骨横行骨折67例,观察并分析骨折复位程度、关节活动度,膝关节功能评分和并发症的发生情况。结果术后膝关节功能评分优良率92.5%,明显高于术前的9.0%;术后膝关节活动度优良率90.0%,明显高于术前的6.0%;术后X片示骨折对位对线评分优良率100%,明显高于术前的11.0%,差异均具有统计学意义(P<0.05),本组患者并发症发生率9.0%。结论预剪断式带孔髌骨针联合张力带钢丝内固定微创治疗髌骨横断型骨折有助于复位和膝关节功能恢复,活动度佳,患者并发症发生率较低,是临床治疗髌骨横断型骨折的可行术式。Objective To explore the clinical curative effect of pre cut type perforated patellar needle combined with tension band steel wire internal fixation minimally invasive in the treatment of patellar transverse fracture. Methods A total of 67 cases of patients with patellar transverse fracture were treated with pre cut with holes patellar needles com-bined with tension band wire fixation of minimally invasive, the fracture degree,joint activity,knee functional score and incidence of complications were observed and analysised. Results Postoperative knee function score, the excellent and good rate was 92.5%was significantly higher than the preoperative 9.0%,postoperative knee activity, excellent rate was 90.0% significantly higher than the preoperative 6.0%,postoperative X piece shows the alignment score the excellent rate of 100%was significantly higher than the preoperative 11.0%fractures ,the differences were statistically significant （P〈0.05）,the incidence of complications of patients was 9.0%. Conclusion Pre cut type perforated patellar needle combined with tension band steel wire internal fixation minimally invasive in the treatment of patellar transverse frac-ture is be conducive to the fracture and recover the function of knee joint,the incidence of complications of patients is low, witch is the practical operation in treatment of patella fracture.

关 键 词：髌骨骨折 髌骨针 张力带 微创 

分 类 号：R687.3[医药卫生—骨科学]