CAJ | 학술논문

目的：报道可吸收线VICRYL双网、丝线网张力带固定术治疗髌骨骨折的疗效。方法：10例髌骨骨折复位后，用上述三层网张力带(可吸收线网二层，粗丝线网一层)将骨折块“捆”为一整块。结果：10例病人，共进行11次本术，取得优8例次，良3例次。结论：本术式可与金属内固定强度相比，而且减少了一次取金属内固定物手术；利于早期功能锻炼，从而提高伸屈膝关节的活动度；应用可吸收线网，既可以吸收减少异物又提高了强度。
목적：보도가흡수선VICRYL쌍망、사선망장력대고정술치료빈골골절적료효。방법：10례빈골골절복위 후，용상술삼층망장력대(가흡수선망이층，조사선망일층)장골절괴“곤”위일정괴。결과：10례병인，공진행11차 본술，취득우8례차，량3례차。결론：본술식가여금속내고정강도상비，이차감소료일차취금속내고정물수술；리 우조기공능단련，종이제고신굴슬관절적활동도；응용가흡수선망，기가이흡수감소이물우제고료강도。
Objective: To introduce the effect of using absorbable VICRYL double-net silk thread tension band in the treatment of various kinds of patellar fracture. Methods: The authors used a three-layer tension band (2 layer of absorbable net and a layer of thick silk thread net) to bind up the fractured pieces of petallar into a whole mass after reposition of petallar fracture in 10 patients. Results: Eleven operations performed on ten patients proved that eight had excellent effect and three good. Conclusion: This treatment is comparable to that of internal metallic fixation but is free from an operation to extract the internal metallic fixation. It enables the patient to do early functional exercises, thence increased the degree of extension and flexion of the knee joint. Applying the absorbable thread-net not only could the patient absorb and reduce foreign body but also promote strength. It would be more favourable when coordinating repositioning, compressing fixation ring with the serial instruments for patellar fracture to merge the reposition, compression and fixation into an organic whole.