改良减张张力带治疗髌骨下极粉碎性骨折  

The Treatment of Comminuted Inferior Polar Fracture of Patella

作　　者：刘家国[1] 尚锋[1] 程建明[1] 罗斌[1] LIU Jia-guo SHANG Feng CHENG Jian-ming LUO Bin(Department of Orthopedic Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, Chin)

机构地区：[1]十堰市太和医院.湖北医药学院附属医院创伤骨科,湖北十堰442000

出　　处：《湖北医药学院学报》2017年第3期242-245,共4页Journal of Hubei University of Medicine

摘　　要：目的:探讨改良减张张力带治疗髌骨下极粉碎性骨折的临床疗效。方法:自2002年5月至2015年8月收治40例髌骨下极粉碎性骨折患者,所有均采用切开复位改良张力带固定并跨髌韧带"8"字钢缆限制环减张治疗,术后早期即进行膝关节屈伸锻炼,定期复查,采用Bostman评分表评估膝关节功能恢复情况。结果:所有患者随访时间12~15个月,骨折均获得愈合,无内固定失效、骨折不愈合等,膝关节功能按Bostman评分:优35例,良:3例,差:2例,优良率为95%。结论:改良减张张力带治疗髌骨下极粉碎性骨折具有固定可靠,膝关节功能恢复好,晚期并发症发生率低等优点,是治疗髌骨下粉碎性极骨折特别有效的一种方法。Objective To investigate the clinical effects of modified tension band in treating the comminuted inferior polar fracture of patella with modified tension band surgery. Methods During the period of May 2002 to August 2015,40 patients were diagnosed with comminuted inferior polar fracture of patella. All diagnosed patients were treated with open reduction,modified tension band fixation and trans patellar ligament ＂ 8＂-type cable limited loop reduction. The knee flexion and extension exercises were performed early post-operation,and the recovery of knee joint function was evaluated by Bostman scoring system. Results All patients were followed up for 12 ~ 15 months,and all fractures were obtained healing,no internal fixation failure,nonunion,etc. According to Bostman knee function scores： excellent in 35 cases,good in 3 cases,poor in 2 cases,and the excellent-good rate was 95%. Conclusion The modified tension band surgery for the treatment of patellar lower polar comminuted fracture has reliable fixation,good functional recovery of the knee joint with low complication rate. It is a particularly effective way to treat patellar comminuted fracture.

关 键 词：髌骨下极骨折 内固定 改良张力带 

分 类 号：R687.3[医药卫生—骨科学]