张力带固定与钢丝环扎治疗髌骨骨折疗效分析

使用张力带固定、钢丝环扎与丝线环扎治疗髌骨骨折共６５例，平均优良率９１．５２％，但优级疗效者张力带组是８０％，钢丝及丝线环扎组分别是５６％及５６．５％。张力带内固定术后不需石膏外固定，利于膝关节早期功能锻炼与康复，疗效明显优于其它两种疗效（ｐ＜０．０５），但术中操作要求准确细致。与钢丝环扎相比，丝线环扎荷包缝合具有可避免取出内固定的第二次手术的优点，两组疗效相似。

Tension band and circular fixation in treating patellar fracture

Sixty five cases of fracture of fpatella were treated with tension band, circular fixation with stainless steel and circular fixation with silk thread, the average rate of excellent and good being 91.52%. In the excellent group, the tension band group was 80%, and the stainless steel and silk thread group being 56% and 56.5% respectively. Due to internal fixation with tension band do not need external fixation with plaster of paris, so it facilitates early knee joint exercise and rehabilitation. The therapeutic efficacy is superior than the other two methods(P<0.05). It requires accurate and fine manipulation during operation. As compared with stainless steel circular fixation, silk thread circular fixation bears the advantage of avoiding another operation for withdrawing of the wire, though their therapeutic effect was in similarity.