| 镍钛聚髌器结合钢丝环扎固定治疗粉碎性髌骨骨折 |
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投稿时间：2008-08-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 谭红略 |
TAN Hong-lüe |
江苏大学附属常州武进医院骨科,江苏 常州 213000 |
Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China |
hnlc.love@163.com |
| 钱臣 |
QIAN Chen |
江苏大学附属常州武进医院骨科,江苏 常州 213000 |
Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China |
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| 赵金坤 |
ZHAO Jin-kun |
江苏大学附属常州武进医院骨科,江苏 常州 213000 |
Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China |
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| 石岩 |
SHI Yan |
江苏大学附属常州武进医院骨科,江苏 常州 213000 |
Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China |
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| 周琦 |
ZHOU Qi |
江苏大学附属常州武进医院骨科,江苏 常州 213000 |
Department of Orthopaedics,Changzhou Wujin Hospital Affiliated to Jiangsu University,Changzhou 213000,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第2期，第128-130页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨镍钛聚髌器结合钢丝环扎固定治疗髌骨粉碎性骨折的临床疗效。
方法：2004年3月至2007年6月，采用镍钛聚髌器结合钢丝环扎固定治疗38例髌骨粉碎性骨折，男25例，女13例；年龄21～64岁，平均42.5岁；均为粉碎有移位骨折，其中碎骨块3块16例、4块14例、5块及以上8例；合并其他部位骨折8例。随访期间评价患者膝关节功能及并发症情况。
结果：经8～24个月(平均15个月)随访，骨折均骨性愈合。术后无内固定松动，发生膝关节创伤性滑膜炎2例。按Lysholm-Gillquist膝关节评价标准：优17例，良19例，可2例。
结论：镍钛聚髌器结合钢丝环扎固定具有复位满意、固定可靠、患者可早期进行功能锻炼，是治疗髌骨粉碎性骨折的理想选择方式之一。 |
| 【关键词】髌骨 骨折,粉碎性 内固定器 |
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| Treatment of comminuted patellar fractures with internal Ni-Ti patellar concentrator and tension bind wire fixation |
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ABSTRACT
Objective: To study the clinical efficacy of the treatment of comminuted patellar fractures with internal NiTi-Patellar concentrator and tension bind wire fixation.
Methods: From March 2004 to June 2007,38 cases of fresh comminuted patellar fractures were treated with internal NiTi-Patellar concentrator and tension bind wire fixation. There were 25 males and 13 females,ranging from 21 to 64 years (mean 42.5 years). All were comminuted fractures with displacement,16 cases were 3 fragments,14 cases were 4 fragments,8 cases were 5 fragments. There were other fractures in 8 cases. During followed-up, knee function and complications were evaluated.
Results: All patients were followed up for 8 to 24 months(mean 15 months) and obtained complete bone union. No case of implant was loosening and fragment displacement, traumatic arthritis occured in 2 cases. Under Lysholm & Gillquist score,the results were excellent in 17 cases,good in 19,fair in 2.
Conclusion: Internal NiTi-Patellar concentrator and tension bind wire fixation is one of the ideal methods for the treatment of comminuted patellar fracture,which could provide satisfied reduction,reliable fixation and good functional recovery. |
| KEY WORDS Patella Fractures,comminuted Internal fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 谭红略,钱臣,赵金坤,石岩,周琦.镍钛聚髌器结合钢丝环扎固定治疗粉碎性髌骨骨折[J].中国骨伤,2009,22(2):128~130 |
| 英文格式: | TAN Hong-lüe,QIAN Chen,ZHAO Jin-kun,SHI Yan,ZHOU Qi.Treatment of comminuted patellar fractures with internal Ni-Ti patellar concentrator and tension bind wire fixation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(2):128~130 |
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