Cable-pin系统与克氏针张力带治疗髌骨骨折的疗效比较  

Comparison of Cable-pin system and Kirschner wire tension band for patella fractures

作　　者：张鹰[1] 杨宇[1] 李凡[1] 刘大鹏[1] 杨晶[1] 

机构地区：[1]新疆医科大学第五附属医院骨二科,乌鲁木齐830011

出　　处：《浙江医学》2016年第14期1184-1187,共4页Zhejiang Medical Journal

摘　　要：目的探讨Cable-pin系统与克氏针张力带在治疗髌骨骨折方面的临床效果。方法选取2010年2月至2015年1月在骨科就诊的67例髌骨骨折患者,均为闭合性髌骨骨折。其中观察组33例给予Cable-pin系统固定,对照组34例给予克氏针张力带固定,比较两组患者手术时间,术中出血量,开始负重时间,骨折平均愈合时间,术后3、6个月膝关节屈曲活动度,并发症发生率及治疗效果。结果观察组患者在骨折平均愈合时间、开始负重时间、术后3个月的膝关节屈曲活动度、术后并发症发生率、改良Bostman髌骨评分及疗效方面均优于对照组,差异均有统计学意义(均P<0.05);但观察组在手术时间、术中出血量及术后6个月膝关节屈曲活动度方面与对照组比较,差异均无统计学意义(均P>0.05)。结论应用Cable-pin系统相比于克氏针张力带在治疗髌骨骨折方面,具有操作简单、固定可靠、骨折愈合快、负重时间早、膝关节功能好及并发症少的优点,是一种理想的内固定方法。Objective To compare the clinical efficacy of Cable-pin system and Kirschner wire tension band in treatment of patella fractures. M ethods Sixty seven patients with close patella fractures receiving surgical treatment from February 2010 to January 2015 were enrolled the study, including 33 cases with Cable-pin for fixation（study group） and 34 patients with Kirschner wire tension band for fixation（control group）. The clinical efficacy and complication rates were analyzed and compared between two groups. Results The average healing time of fracture, starting weight bearing time, knee flexion mobility after 3 months,complications, Bostman patellar score and fine rate after operation in study group were all superior to those in control group（all P〈0.05）. However, there were no significant differences in intraoperative blood loss, operation time and knee flexion mobility after6 months, which between two groups（all P〉0.05）. Conclusion Cable-pin system is superior to Kirschner wire tension band for the treatment of patella fractures.

关 键 词：髌骨骨折 CABLE-PIN系统 张力带 膝关节 

分 类 号：R687.3[医药卫生—骨科学]