髌骨骨折不同治疗方法的临床疗效分析  

Clinical Effect of Different Treatment Methods for Patella Fracture

作　　者：鲁春民 

机构地区：[1]吉林省舒兰矿业集团总医院骨外科,吉林舒兰132602

出　　处：《中国卫生标准管理》2016年第21期70-71,共2页China Health Standard Management

摘　　要：目的研究不同方法治疗髌骨骨折的临床效果。方法选择2014年6月~2015年6月诊治的230例髌骨骨折患者,根据治疗方法不同分为3组,分别应用改良克氏针张力带方式治疗、空心螺丝钉张力带治疗以及髌骨爪内固定方法治疗,比较3组患者的临床治疗效果以及并发症的发生率。结果髌骨爪内固定治疗的效果比其他两种方法好,而且并发症发生率比其他两种方法低,差异有统计学意义（P〈0.05）。结论髌骨骨折患者应用髌骨爪内固定治疗的临床效果显著,尤其是针对粉碎性髌骨骨折的患者,如为单纯的横行骨折,可应用克氏针张力带方法进行治疗,临床医生应根据情况选择治疗方法。Objective To study the clinical effect of different methods in the treatment of patelar fracture.Methods 230 cases of patelar fracture patients from June 2014 to June 2015 who were diagnosed and treated in our hospital were divided into three groups according to different treatment methods,they were respectively treated with modified kirschner wire tension band,holow screws and concentratorinternal fixation of tension band,clinical curative effect and complications among three groups were compared.Results By comparison,the effect of concentratorinternal fixation was obviously better than the other two approaches,and the probability of complications was significantly lower than the other two methods,the difference was statisticaly significant（P＆lt;0.05）.ConclusionThe clinical effect of patela concentratorinternal fixation in the treatment of patients with fracture is significant, especialy for comminuted patelar fracture patients,such as simple fracture, kirschner wire and tension band method can be used,clinicians should chose difference methods according to different conditions.

关 键 词：髌骨骨折 克氏针张力带方式 空心螺丝钉张力带 髌骨爪内固定 临床效果 

分 类 号：R683[医药卫生—骨科学]