分体式髌骨爪联合可吸收缝线治疗髌骨骨折的疗效观察

目的观察分体式髌骨爪联合可吸收缝线治疗髌骨骨折的疗效。方法2010年1月～2012年12月，成都医学院第一附属医院骨科应用分体式髌骨爪联合可吸收缝线治疗了30例髌骨骨折患者，所有患者术后予以持续被动活动器（CPM）早期功能锻炼，并随访6～18个月，平均随访时间12个月，观察骨折愈合情况及应用HSS膝关节评分评价患肢膝关节功能。结果到随访结束时，所有患者获得髌骨骨折骨性愈合，无内固定断裂、松动、膝关节感染等并发症，HSS膝关节评分的结果为：优25例，良3例，可2例，优良率为93．33％。结论分体式髌骨爪联合可吸收缝线治疗髌骨骨折操作方便，允许患者早期膝关节功能锻炼，能够获得良好的治疗效果。

Clinical Observation of the Treatment in Patellar Fracture with the Device of Two-Part Patella Catcher and Absorbable Thread

Objective To study the clinical treatment results of the patellar fracture with the device of two- part patella catcher and absorbable thread. Methods 30 patellar fracture patients were treated with the device of two-part patella catcher and absorbable thread in the first affiliated hospital of Chengdu Medical College from January 2010 to December 2012. All patients were asked to do early joint function exercise by the continuous passive motion machine （CPM） after operation. They were followed up for 6-18 months. Results All patients achieved bone union. No knee infection,breaking or loosening of internal fixator were found in the study. According to HSS Score, there were 25 excellent cases and 3 good cases. The excellent and good cases were 93.33% in all. Conclusion The treatment of patellar fracture with the device of two-part patella catcher and absorbable thread is a simple fixation. It could help patellar fracture patients do early joint function exercise and acquire good curative effect.