张力带固定治疗髌骨横行骨折的研究进展

髌骨骨折中横行骨折最为常见,张力带固定方法,是目前治疗髌骨横行骨折最有效的方法之一。钢丝张力带技术术式简单,使用材料也简单,但不牢固,难以推广;克氏针张力带技术复位好,固定可靠,但容易发生钢丝断裂,克氏针松动的并发症;螺钉张力带技术继承了传统术式操作简单、固定可靠的优点,又克服了克氏针张力带刺激膝周软组织限制早期活动、内固定容易滑脱、断裂等的不足,可以广泛开展。

Progress on treatment of transverse patella fractures with tension band fixation

Transverse fracture is the most common in patella fracture and tension band fixation is one of the most effective methods. Surgical wire tension band technique is simple,the use of materials is also simple,but it is not strong and difficult to promote. Kirschner tension band technique can get satisfactory reduction with reliable fixation,but it is easy to complicate with steel wire breakage and Kirschner loosening. Screw tension band technique inherits the traditional advantages of simple manipulation and reliable fixation,also overcomes the disadvantages of early activity limitations caused soft tissue irritation of tension band around knee,the slippage and breakage of internal fixation,and the technique can be popularized generally.