摘要
目的:探讨3种不同内固定植入物治疗髌骨粉碎性骨折的临床疗效。方法:研究对象为2008年7月-2010年12月我院收治的被确诊为髌骨粉碎性骨折的患者68例,给予3种不同内固定植入物治疗,比较分析膝关节功能恢复情况。结果:NTPC(Nickel Titanium Patella Concentrator镍钛形状记忆合金聚髌器)内固定组优良率高达97.1%,显著优于钢丝环扎内固定组及克氏针张力带内固定组(P<0.05);NTPC内固定组下地行走时间、正常步态时间、屈膝时间显著早于钢丝环扎内固定组及克氏针张力带内固定组(P<0.05)。结论:针对髌骨粉碎性骨折的患者实施内固定植入物治疗,首选NTPC内固定治疗有助于术后膝关节功能恢复,值得临床上推广应用。
To investigate the clinical effects of three different internal fixation implants in treating comminuted patella fractures. Methods： From July 2008 to December 2010, 68 cases of comminuted patella fractures received internal fix- ation of three different implants. The functional recovery was compared and analyzed. Results： 97. 1 % patients implanted with Nickel--titanium patella concentrator （NTPC） obtained good results, which was significantly superior to that of circu- lar wiring and K-wire tension band internal fixation （P〈0. 05）. Compared to patients with circular wiring and K-wire ten- sion band internal fixation, the time was shorter for patients with NTPC to walk, or to walk in a normal way, or to be able to bend knees （P〈0. 05）. Conclusion： NTPC internal fixation is a first-choice therapy for comminuted patella fractures.
出处
《中国中医骨伤科杂志》
CAS
2013年第3期47-48,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
髌骨骨折
粉碎性骨折
内固定术
Patellar fracture
Comminuted fracture
Internal fixation
