摘要
目的探讨带孔克氏针钢丝缠绕加压张力带固定治疗髌骨骨折的疗效。方法 2008年2月-2010年1月,采用带孔克氏针钢丝缠绕加压张力带固定治疗39例髌骨骨折患者。男23例,女16例;年龄18~65岁,平均37岁。左侧21例,右侧18例。致伤原因:摔伤21例,交通事故伤11例,打击伤7例。受伤至手术时间5 h^6 d,平均3.5 d。开放性骨折12例,粉碎性骨折19例。结果术后切口均Ⅰ期愈合,无下肢深静脉血栓形成。患者均获随访,随访时间12~21个月,平均14个月。术中及术后均无钢丝断裂发生;X线片复查示术后无再骨折、骨折移位,内固定物取出前无克氏针移位发生;骨折愈合良好,6~8周骨折线基本消失,平均7.5周。术后12个月,根据Lysholm膝关节评分标准对膝关节功能进行评定:获优22例,良16例,可1例,优良率97.4%。结论带孔克氏针钢丝缠绕加压张力带固定治疗髌骨骨折,具有钢丝不易断裂、克氏针不脱落、加压力量大且可控的优点,疗效满意。
Objective To investigate the effectiveness of internal fixation using Kirschner with hole and tension band system with wire winding and pressure in the treatment of patellar fracture. Methods Between February 2008 and January 2010, 39 patients with patellar fracture were treated using Kirschner with hole and tension band system with wire winding and pressure. The average age was 37 years （range, 18-65 years）, including 23 males and 16 females. The left side was involved in 21 cases and the right side in 18 cases. The causes were falling injury in 21 cases, traffic accident injury in 11 cases, and striking injury in 7 cases. The injury to operation time was 5 hours to 6 days （mean, 3.5 days）. Twelve cases had open fractures, and 19 cases had comminuted fractures. Results All incisions healed by first intention, and no deep venous thrombosis of lower limbs formed. Thirty-nine patients followed up 12-21 months （mean, 14 months）. There was no wire breaking during operation and after operation. X-ray film showed no re-fracture, fracture displacement, or needle displacement; fracture healed well, fracture line disappeared at 6-8 weeks （mean, 7.5 weeks） after operation. After 12 months, the internal fixation was removed; according to the Lysholm knee score standard, the results were excellent in 22 cases, good in 16 cases, fair in 1 case, and the excellent and good rate was 97.4%. Conclusion Internal fixation using Kirschner with hole and tension band system with wire winding and pressure has satisfactory effectiveness for the treatment of patellar fracture, with the following advantages： wire is not easy to break, the needle does not fall off, and the pressure strength is powerful.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2015年第12期1466-1468,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
髌骨骨折
带孔克氏针
内固定
张力带
缠绕加压
Patellar fracture
Kirschner with hole
Internal fixation
Tension band system
Winding and pressure
