钢缆钉系统微创治疗髌骨横形骨折30例  

Effect of the minimally invasive therapy of Cable-Pin system in the treatment of transverse patella fractures in 30 cases

作　　者：孙欢[1] 毛宁方[2] 李华杰[1] 徐文联[1] 王波[1] 朱正亚[3] 

机构地区：[1]安徽省滁州市中西医结合医院骨科,239000 [2]上海市长海医院骨科,上海200433 [3]第二军医大学海军医学系,上海200433

出　　处：《蚌埠医学院学报》2015年第4期473-475,共3页Journal of Bengbu Medical College

摘　　要：目的：探讨钢缆钉（Cable-Pin）系统内固定微创治疗髌骨横行骨折方法和疗效。方法：采用微创手术,使用Cable-Pin内固定系统治疗髌骨横行骨折30例,并进行疼痛视觉模拟评分,评价关节活动范围,术后定期复查X线片,随访10-18个月。结果：所有患者骨折均愈合,平均愈合时间为7周。术后疼痛视觉模拟评分为3.2±1.4,术后4周为1.4±1.3。骨折愈合后28例患者实现了全膝关节活动,2例患者完全屈曲有10°缺失。结论：Cable-Pin系统对髌骨骨折固定牢固,术后并发症发生率低,是治疗髌骨横形骨折的可靠方法。Objective：To investigate the effects of the minimally invasive therapy of Cable-Pin system in the treatment of transverse patella fractures. Methods：Thirty cases with transverse patellar fractures were treated with minimally invasive therapy of Cable-Pin system. The X-ray,visual analog scale（VAS） of pain and range of motion in all cases were evaluated after operation. Results：The patients were followed up for 10 to 18 months. All fractures cured,the mean fracture healing time was 7 weeks. The VAS pain score at operation and after 4 weeks of operation were 3. 2 ± 1. 4 and 1. 4 ± 1. 3,respectively. The full range of motion in 28 patients and 10＆176; loss of full flexion in 2 patients were found after fracture healing. Conclusions：The treatment of transverse patellar fracture with Cable-Pin system is low complication,which is a reliable method.

关 键 词：髌骨骨折 钢缆钉系统 微创外科 

分 类 号：R683.42[医药卫生—骨科学]