CAJ | 학술논문

目的比较镍钛聚髌器与改良张力带钢丝治疗髌骨骨折的临床疗效.方法 78例髌骨骨折手术治疗患者,分为镍钛聚髌器组(42例)和改良张力带钢丝组(36例),术后随访6～14个月(平均10个月),根据术后X线片和关节功能恢复情况评定临床疗效.结果失访14例.其余患者骨折平均临床愈合时间为8周.其中镍钛聚髌器组优良率为94.3%,改良张力带钢丝组优良率为79.3%,临床疗效无显著性差异(P＞0.05).对于13例粉碎性骨折,镍钛聚髌器组中优6例,良2例,差1例;改良张力带钢丝组中优0例,良1例,差3例,前者效果明显优于后者(P＜0.05).结论镍钛聚髌器是治疗髌骨骨折的有效方法,尤其适用于粉碎性骨折.
목적 비교얼태취빈기여개량장력대강사치료빈골골절적림상료효.방법 78례빈골골절수술치료환자,분위얼태취빈기조(42례)화개량장력대강사조(36례),술후수방6～14개월(평균10개월),근거술후X선편화관절공능회복정황평정림상료효.결과 실방14례.기여환자골절평균림상유합시간위8주.기중얼태취빈기조우량솔위94.3%,개량장력대강사조우량솔위79.3%,림상료효무현저성차이(P＞0.05).대우13례분쇄성골절,얼태취빈기조중우6례,량2례,차1례;개량장력대강사조중우0례,량1례,차3례,전자효과명현우우후자(P＜0.05).결론 얼태취빈기시치료빈골골절적유효방법,우기괄용우분쇄성골절.
Objective To compare the therapeutic effects on the fracture between nitinol patellar redactor and improved tension steel wire. Methods We had performed operations on 78 patients for fracture of patella in the control group, of which 42 cases by nitinol patellar redactor and 36 cases by improved tension wire. The therapeutic effects based on X-ray film and functional recovery of joint 6-14 months after operation (10 months on average). Results Nine patients cured by nitinoi redactor and 5 patients by improved tension wire were lost. For the others, the healing time was 8 weeks on average, where the good healing rate was up to 94.3% for the nitinol patellar redactor and 79.3% for the improved tension wire. For the therapeutic effects in clinic, no significant difference between the two devices could be found. For 13 cases of comminuted fractures of patellar, however, the nitinol patellar redactor was much better than the improved tension wire. Conclusions The nitinol patellar redactor is one of the effective medical device to cure the fracture of patella, partieularly the fragment fracture of patellar.