摘要
为比较两种不同内固定方式在治疗髌骨粉碎性骨折中的临床疗效,将60例病人采用随机分组方法分成两组,分别采用镍钛记忆合金聚髌器(Niti-PatellarConcentratorNT-PC)(A组)和改良张力带钢丝内固定(B组)治疗,并对手术时间、术后骨折复位情况、骨折愈合时间、术后功能锻炼开始时间、膝关节屈曲达到90°的时间、手术后膝关节功能完全恢复时间及术后的并发症等结果进行比较。结果显示A组在手术时间、术后膝关节功能锻炼开始时间、膝关节屈曲达到90°和完全恢复的时间及骨折愈合的时间均早于B组,术后骨折复位比B组好(P<0.05),手术后无并发症。表明治疗髌骨粉碎性骨折NT-PC比改良张力带钢丝内固定有更广泛的适应症与更理想的效果。
In order to compare the clinical therapeutic effects of two different internal fixing methods in the treatment of comminuted patellar fracture (CPF), 60 cases of CPF were randomly divided into Group A and Group B, which were treated by Niti-patellar concentrator (NITI-PC) and by modified tension band wires, respectively; and the results of the two groups were compared, including the fracture healing, post-operative fracture reduction, the time of operation, fracture healing, post-operative functional-exercises beginning, 90 °-knee-flexion recovery and post-operative knee-function complete recovery, and post-operative complications, etc. The results showed that Group A had better fracture reduction and fracture healing, earlier time of the surgery, post-operative functional-exercises beginning, 90 °-knee-flexion recovery and fracture healing than the ones of Group B but no post-operative complications, suggesting that NITI-PC has more indications and more rational result than the modified tension band wire fixation.
出处
《中医正骨》
2005年第9期9-10,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
髌骨粉碎性骨折
治疗
骨折固定术
镍钛记忆合金聚髌器
改良张力带钢丝
对比研究
comminuted patellar fracture/treatment, fracture immobilization, Niti-patellar concentrator, modified tension band wires, comparative study ,
