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髌骨内固定系统与传统张力带治疗髌骨骨折的疗效分析 预览

Effective Comparision of the Treatment for Patellar Fractures between Patella Fixtion System and Tension Band byOpen Reduction
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摘要 目的通过对髌骨内固定系统和传统张力带治疗髌骨骨折的对比,来探讨髌骨内固定系统的疗效。方法自2013年1月-2017年12月本院收治的168例新鲜髌骨骨折,其中髌骨内固定系统组(A组)87例,传统张力带固定组(B组)81例。均获得随访,时间6-18个月,平均8.5个月。观察指标包括:手术切口长度、手术时间、术中出血量、术后并发症,骨折愈合时间和术后6个月膝关节HSS功能评分。结果两组手术切口、术中出血量和手术时间差异无统计学意义(P>0.05);两组间术后并发症发生率、骨折愈合时间及膝关节HSS功能评分比较差异有统计学意义(P<0.05)。结论与张力带固定相比,髌骨内固定系统具有术后并发症少、愈合时间短、膝关节功能恢复好且操作简单等优点,适合临床应用。 Objective To evaluate the effects of patellar fractures between Patella Fixtion System and tension band by open reduction. Methods From 2013-01 to 2017-12 were reviewed retrospectively. There are 168 cases who were followed up 6-18 months(mean 8.5 months), 87 patients underwent treatment by Patella Fixtion System(group A)while another 81 cases using the AO tension band(group B).Each group was compared on incision length, operation time, intraoperative blood loss, complications, fracture healing time and HSS knee scoring after surgery 6 month. Results There are not statistical difference in incision length, operation time,intraoperative blood loss(P>0.05);There are statistical difference in complications(P<0.05), fracture healing time(P<0.05)and HSS knee scoring after surgery 6 month(P<0.05). Conclusion Comparing to tension band, Patella Fixtion System as a new option for the treatment of patella fracture can reliable fixation and can achieve better postoperative recovery of knee function. It’s simple and effective with less complication.
作者 王丛 李玉华 肖涛 靳鹏 谢承成 WANG Cong;LI Yu-hua;XIAO Tao;JIN Peng;XIE Cheng-cheng(The first people hospital of Bijie,Bijie Guizhou)
出处 《世界最新医学信息文摘(电子版)》 2019年第12期97-98,共2页 World Latest Medicine
关键词 髌骨 骨折 髌骨内固定系统 张力带 Patellar Fracture Patella fixtion system Tension band
作者简介 第一作者:男(1982-),主治医师,硕士研究生,研究方向:脊柱关节外科。
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