膝前框形钢丝内固定治疗髌骨骨折  

Square steel wire fixation in front of knee for the teatment of patellar fracture

作　　者：王健[1] 肖立功[1] 胡常胜[1] 徐耀增[2] 

机构地区：[1]皖南医学院第二附属医院骨科,芜湖241000 [2]苏州大学第一附属医院骨科,苏州215006

出　　处：《安徽医药》2004年第2期107-108,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的　探讨采用钢丝环扎 +膝前方框形张力带钢丝内固定法治疗髌骨骨折的经验和临床效果。方法　对 35例髌骨骨折应用此方法治疗 ,基中男性 2 4例 ,女性 1 1例 ,30例获得 3～ 2 4个月随访。结果　优 1 9例 ,良 1 0例 ,可 1例 ,优良率 96 7%。术后未出现骨折再移位 ,无伤口感染。愈合时间 6～ 1 2周。结论　该方法符合生物力学原理 ,操作简便 ,适应证广 ,能早期关节活动 。AIM To describe the experiences and clinical effect of steel wire circular ligating and square tension band steel wire in front of knee for thetreatment of patellar. METHODS 35 cases of patellar fracture were treated with this method.30 cases(24 men and 11 women)had been followed up.The follow up period lasted from 3 to 24 months.RESULTS Of 30 follow up cases,19 were excellent,10 good,1 satisfactory.Its excellent and good rate is 96 7%.There was no redisplacement and inftection in this group.Bone union occurred from 6 to 12 weeks. CONCLUSIONS This method is conformed biomechanical principle and applicable for all of patellar fracture. It was discovered the function training on extending and flexing of knee joint after operation might be started earlier. It is believed to be a good simple method for the treatment of patellar fracture.

关 键 词：膝前框形钢丝 内固定 治疗 髌骨骨折 

分 类 号：R687.3[医药卫生—骨科学]