摘要
本文从基础理论、实验研究及临床出发,探讨髌骨骨折张力带内固定术的生物力学原理及其与术后处理的密切关系。证明张力带的弹性内固定足以维持术后摒弃外固定及徐缓仲屈作用。术后功能锻练必须循序渐进,以保护张力带后侧支柱区骨块获最佳应力。指出术后近期内不宜做超过90°的剧烈伸屈,但可被动床边悬吊及轻微晃动。本组自1983年至1987年共收治83例患者,行髌骨张力带手术,随访57例;总优良率91.23%,临床验证了术后正确处理对功能恢复的重要影响。
According to the basic theory, experimental and clinical investigation, the present paper evaluates the biomechanical principles of the tension-band internal fixation on patella, which is in close relation to managing postoperatively. Results prove the fact that under the role of such internal fixation, knee joint function exercises in extend or flex may be performed without external fixation after operation. The study indicates that this kind of exercises has to be done regularly and step by step, instead of active motions of more than 90 degrees within near two weeks. 57 of 83 patients operated were followed up for an average of 2.9 years from 1983 to 1987 with the good rate of 91.23%.
出处
《创伤杂志》
CSCD
北大核心
1989年第4期214-216,共3页
