钢丝环扎加张力带治疗髌骨骨折应用效果评估及分析  

Steel Ring and Tension Band Evaluation and Effect Analysis of the Treatment of Patella Fractures

作　　者：白捷 

机构地区：[1]云南省交通中心医院骨科,云南昆明650041

出　　处：《中国伤残医学》2017年第9期8-10,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：研究并探讨钢丝环扎加张力带治疗髌骨骨折的临床效果.方法：选取80例髌骨骨折患者作为此次研究的对象,采取数字随机表法将患者分为对照组、观察组,每组40例.对照组实施单纯钢丝环扎内固定术,观察组实施钢丝环扎联合张力带内固定术.比较2组患者治疗优良率、临床治疗总有效率、骨折愈合时间以及并发症发生情况,并对2组患者治疗前后的HSS膝关节评分进行比较.结果：观察组临床治疗优良率、临床治疗总有效率分别为67.5％、95.0％,与对照组的45.0％、77.5％相比,差异均具有统计学意义（P〈0.05）.与对照组相比观察组骨折愈合时间明显缩短（P〈0.05）,观察组并发症发生率明显更低（P〈0.05）.治疗后,观察组HSS膝关节评分较治疗前明显增高（P〈0.05）,且与治疗后的对照组相比,差异具有统计学意义（P〈0.05）.结论：在髌骨骨折的临床治疗中,采用钢丝环扎联合张力带对患者进行内固定治疗,不仅具有显著的临床治疗效果,能够有效促进膝关节活动功能的改善,还能有效减少并发症的发生,促进骨折尽快愈合.Objective： To study the clinical effect and explore the steel ring and tension band for the treatment of patellar fracture. Methods： 80 cases of patellar fracture patients as the research object, adopt digital random table method were divided into control group and observation group, 40 cases in each group. Control group received single pure wire cerclage fixation. The observation group received wire cerclage combined with tension band fixation. The excellent rate of treatment were compared between the two groups, the total effective rate of clinical treatment, healing time and complications of fractures, and HSS knee score of the patients in two groups were compared. Results： The clinical observation group, the excellent rate of treatment, the clinical treatment of total The efficiency was 67.5％, 95％, compared with the control group 45％, 77.5％, the differences were statistically significant （P〈0.05）. Compared with the control group, the observation group fracture healing time was significantly shortened （P〈0.05）, the complication rate of observation group was significantly lower （P〈0.05）. After treatment, the observation group HSS knee score than before treatment significantly increased （P〈0.05）, and compared with the control group after treatment, the difference was statistically significant （P〈0.05）. Conclusion： In the clinical treatment of patellar fracture, using steel wire cerclage combined with tension band internal fixation on patients Fixed treatment, not only has significant clinical treatment effect, can effectively promote the improvement of knee function, but also can effectively reduce the incidence of complications, promote fracture healing as soon as possible.

关 键 词：髌骨骨折 钢丝环扎 张力带 内固定术 

分 类 号：R683.42[医药卫生—骨科学]