医用钛缆应用在髌骨粉碎性骨折治疗中

背景：采用医用钛缆材料治疗髌骨骨折操作简便,固定坚强,较好的保护了膝关节的功能。 目的：观察医用钛缆在髌骨粉碎性骨折治疗中的应用疗效。 方法：30例髌骨骨折患者采取自愿选择的方式,选择医用钛缆材料治疗和传统钢丝环扎治疗。比较两组患者内固定时间、出血量、膝关节内固定首次锻炼时间、住院天数、医疗消费、并发症及远期膝关节功能情况,并进行疗效分析。 结果与结论：30例患者均获得1年以上随访。医用钛缆环扎固定组内固定膝关节活动时间早,住院天数短,但医疗费用偏高,远期膝关节功能Bostman评分也较传统钢丝环扎组高(P < 0.05)。结果证实,医用钛缆材料对髌骨粉碎性骨折固定牢靠,具有膝关节锻炼时间早、并发症少的优点,是髌骨粉碎性骨折治疗的较优选择之一。

Medical titanium cable in the treatment of comminuted patellar fractures

BACKGROUND:Medical titanium cable is easy and simple to handle with strong internal fixation and it can protect the knee function. OBJECTIVE:To study the curative effect of medical titanium cable in the treatment of comminuted patellar fractures. METHODS:Thirty patients with comminuted patellar fractures were divided into two groups according to their wishes: medical titanium cable group and routine steel wire cerclageg pierced group. The fixation time, amount of blood loss, the first knee exercise time after operation, hospitalization time, medical expenses, complications and long-term knee function of the patients in two groups were compared. RESULTS AND CONCLUSION:All patients were followed-up for more than 1 year. The first knee exercise time after operation of the patients in the medical titanium cable group was earlier than that in the routine steel wire cerclage pierced group, and the hospitalization time was shorter, but the medical expenses and long-term knee function Bostman score in the medical titanium cable group was higher than those in  the routine steel wire cerclage pierced group (P < 0.05). The medical titanium cable material can cure comminuted patella fractures with strong internal fixation. The medical titanium cable has advantages of earlier knee exercise time and fewer complications compared with routine steel wire cerclage pierced group. It is considered as the better choice for the treatment of comminuted patella fractures.