| 张小虎1 唐超雄1 陈小华1 邓钦民1 雷振衡1 曾志华1 彭耀金2.三种不同内固定法治疗髌骨骨折82 例临床疗效的分析[J].,2012,12(25):4899-4902 |
| 三种不同内固定法治疗髌骨骨折82 例临床疗效的分析 |
| Analysis on the Clinical Efficacy of Three Internal Fixations on 82 Patientswith Patella Fracture Treated |
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| DOI： |
| 中文关键词: 髌骨骨折 双克氏针钢丝环绕法 髌骨周缘环形缝扎 镍钛聚髌器 |
| 英文关键词: Patella fracture Wire winding two Kirschner Annular suture of Patellar margin Nitinol Patellar |
| 基金项目:Analysis on the Clinical Efficacy of Three Internal Fixations on 82 Patients
with Patella Fracture Treated |
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| 中文摘要: |
| 目的：观察三种不同内固定法治疗髌骨骨折82 例临床疗效及安全性。方法：将82 例髌骨骨折患者随机分成三组，其中30
人接受双克氏针钢丝环绕法治疗，髌骨周缘环形缝扎处理21 例，31 人应用镍钛聚髌器治疗。从手术时间、优良率、愈合时间、手术
费用及并发症等指标进行评价。结果：三种内固定方法治疗髌骨骨折组的手术时间差异无统计学意义(P > 0.05)，镍钛聚髌器组的
愈合时间、手术费用及术后并发症与双克氏针钢丝环绕法组及髌骨周缘环形缝扎处理组相比，差异具有统计学意义(P <0.05)；镍
钛聚髌器治疗髌骨粉碎性骨折的优良率与其它两组相比，差异具有统计学意义(P <0.05)；三种方法治疗髌骨横断性骨折的优良率
相互比较差异无统计学意义。结论：双克氏针钢丝环绕法、髌骨周缘环形缝扎法及镍钛聚髌器法都可以被采纳治疗髌骨横断性骨
折；在治疗髌骨粉碎性骨折优先采用镍钛聚髌器法。 |
| 英文摘要: |
| Objective: To explore the clinical efficacy and safety of three internal fixation ways on 82 patients with patella fracture
treated. Methods: 82 patients with patella fracture were randomly divided into the Wire winding two Kirschner group (WWK group), the
annular suture of Patellar margin group(ASPM group) and Nitinol Patellar group(NTP group). 30 patients were treated by Wire winding
two Kirschner, 21 patients were treated by annular suture of Patellar margin, and 31patients were cured in Nitinol Patellar group. We assessed
the clinical efficacy and safety according to operation time, union time, complications, operation cost and excellent and good rate.
Results: There is no statistical difference in the operation time of the three internal fixations (P > 0.05). In comparison of the union time,
operation cost and the complications. There is significantly statistical difference among the three groups(P <0.05). The excellent and good
rate of the curing comminuted patella fracture is significant higher in NTP group than WWK group and ASPM group (P<0.05); there is
no statistical difference in treating transverse patella fracture when comparing the excellent and good rate among the three internal fixations
(P>0.05). Conclusion: All of the Wire winding two Kirschner, annular suture of Patellar margin and Nitinol Patellar can be used to
treat the patella fracture; Nitinol Patellar is more effective and excellent to treat the comminuted patella fracture. |
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