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几种髌骨内固定方法的疗效比较
引用本文:孙振全,劳卫荣,池波,李志明.几种髌骨内固定方法的疗效比较[J].现代医院,2006,6(10):41-42.
作者姓名:孙振全  劳卫荣  池波  李志明
作者单位:广州市芳村区人民医院,广东广州,510370
摘    要:目的总结手术治疗髌骨骨折的体会,探讨髌骨骨折较为合适的内固定方法。方法回顾2003年10月~2006年2月87例髌骨骨折分别运用镍钛聚髌器、AO张力带、丝线、丝线环扎加镍钛聚髌器、改良钢丝环扎张力带法治疗的体会及随访分析。横断型骨折31例,镍钛聚髌器固定10例,AO张力带固定21例。髌骨下部粉碎骨折28例,镍钛聚髌器固定11例,丝线环扎加镍钛聚髌器4例,AO张力带固定13例。全髌骨粉碎骨折28例,丝线环扎加镍钛聚髌器固定13例,丝线环扎3例,改良钢丝环扎张力带法12例。结果使用镍钛聚髌器固定者全部疗效满意,无内固定并发症的发生。结论镍钛聚髌器应作为髌骨各型闭合性骨折的首选方法。

关 键 词:髌骨骨折  内固定  镍钛聚髌器  并发症

COMPARISON OF THE EFFECTS OF SEVERAL INTERNAL FIXATION METHODS FOR PATELLAE
SUN Zhenquan , LAO Weirong , CHI Bo , et al.COMPARISON OF THE EFFECTS OF SEVERAL INTERNAL FIXATION METHODS FOR PATELLAE[J].Modern Hospital,2006,6(10):41-42.
Authors:SUN Zhenquan  LAO Weirong  CHI Bo  
Abstract:Objective To summarize the experience of treating patellae fractures,discuss the best operation method of patellae fractures.Methods From October,2003to February 2006,87 cases were followed up and analyzed.Which included nickel-titanium patellar concentrate(NT-PC)、AO-tension band wire、suture rivet、Circular suture and NT-PC、improved Circular wire and tension band wire of internal fixation to treat patellar fractures.31 cases were transecting type fracture,among which use the NT-PC in 10 cases,AO-tension band wire in 21 cases.28cases were under-line crash patellar fractures,NT-PC 11cases,Circular suture and NT-PC 4 cases,AO-tension band wire 13cases.28cases were the whole patellar crash fractures,Circular suture and NT-PC 13cases,suture rivet 3 cases,improved Circular wire and AO-tension band wire 12cases.Results All the NT-PC cases got satisfactory curative effect,avoided complication of internal fixation.Conclusion Nickel-titanium patellar concentrate(NT-PC)should be the primary method to close patellae fractures.
Keywords:Patellae fractures  Internal fixation  NT - PC  Complications
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