Kirschner wire和Cable-pin在髌骨骨折手术治疗中的临床效果分析

目的分析比较Kirschner wire和Cable-pin在髌骨骨折治疗中的临床效果和应用价值。方法回顾2006年12月～2009年12月间笔者医院收治的107例髌骨骨折病人，分别用Kirschner wire和Cable—pin手术治疗68例和39例，记录两组病人的骨折类型、手术历时、术中出血量、住院日、医疗费用、术后并发症及远期膝关节功能恢复情况，应用SPSS11．0软件对观察指标进行统计学分析。结果107例病人全部获得随访，随访时间为3～21个月，平均14．2个月。Cable-pin治疗组患者的手术历时和术中出血量均明显少于Kirschner wire治疗组（P〈0．05），但医疗费用远高于后者（P〈0．01）。两组病人术后并发症、住院日、骨折愈合时间和远期膝关节功能恢复情况无统计学差异。结论应用Kirschner wire手术治疗髌骨骨折更为广泛，方法灵活且疗效肯定，是一种性价比较高的治疗方法；Cable—pin操作简单、疗效可靠，但仅适用于横断性髌骨骨折，且医疗费用昂贵，在临床应用中有一定局限性。

The Clinical Effect Analysis of Kirschner wire and Cable-pin in the Patella Fracture Surgical Treatment

ObjectiveTo analyze and compare Kirschner wire and Cable-pin in the treatment of patellar fracture in clinical effect and application value. MethodsFrom December 2006 to December 2009,107 cases of patellar fracture patients admitted to our hospital were treated with Kirschner wire (68 cases) and Cable-pin surgical treatment (39 cases).The fracture type, operation time, blood loss, hospital stay, medical costs, postoperative complications and long-term recovery of knee function in the two groups were recorded and analyzed by software SPSS11.0.Results107 patients were followed up for 3~21 months with an average time of 14.2 months.The operation time and bleeding volume of Cable-pin treatment group were less than those of Kirschner wire treatment group (P<0.05), but the medical cost was much higher than the latter (P<0.01). Postoperative complications, hospital stay, fracture healing time and long-term knee function recovery between the two groups had no significant difference. ConclusionSurgical treatment of patellar fracture with Kirschner wire is a more extensive, flexible and effective method.Cable-pin is simple, effective and reliable, but only applies to transverse patellar fracture, and also is expensive,and so it has some limitations in clinical application.