pyrford式张力带钢丝内固定治疗髌骨骨折

目的为了避免带克氏针张力带内固定常引起针尾触痛和钢丝从克氏针滑脱等并发症的发生,本法使用了pyrford式张力带钢丝内固定治疗髌骨骨折,并对其疗效进行观察。方法高潭镇卫生院自2005年开始对87例髌骨骨折病例采用切开复位,用0.7~0.8mm钢丝行髌骨边缘荷包环扎,再用0.7~0.8mm钢丝在髌骨前行股四头肌腱与髌骨韧带之间的纵向矩形缝合,术后早期活动动膝关节,并对其中54例患者经1~2年随访。结果本组87例的平均手术时间为27min,解剖复位达95%,骨折平均愈合时间为6.8周,膝关节功能恢复快,治疗效果佳,有4例出髌骨变形。结论 pyrford式张力带钢丝内固定治疗髌骨骨折操作简单、创伤小、骨折愈合快、并发症少、费用低,在基层适应范围广。

Pyrford Tension Band Wire Fixation for the Treatment of Patellar Fracture

Objective Happen for avoiding taking simultaneous inner fixation of gram Mrs.of needle tension to arouse complication such as end of needle haphalgesia and secondary gram Mrs.steel wire needle slippage＇s often,this law has used dyadic tension of pyrford to take the steel wire inner to fix the observation curing patella fracture,and being in progress to whose curative effect.Methods My yard adopt an incision to reset starting from 2005 to 87 example patella fracture case,the steel wire line patella border pocket ring pricks with 0.7~0.8mm,steel wire moves forward again with 0.7~0.8mm in the patella share direction rectangle suture between four sinew and patella ligamentum,skill queen early phase exercises moving knee-joint,checks 54 example patients among them after 1 till follow-up for 2 years together.Results 87 regular this group averages operation time amounts to 95% for 27 minutes,anatomy reset,the effect restoring quickly,curing average fracture coalescence time for 6.8 cycles,knee-joint functions nice,has 4 examples to put up patella deformation.Conclusion Dyadic tension of pyrford takes the steel wire inner to fix the fracture curing a patella handle a simplicity,the wound is small,fracture heals quickly,complication is few,cost is low,accommodation is broad in grass-roots unit.