CAJ | 학술논문

目的:探讨髌骨严重粉碎性骨折两种不同治疗方法的疗效比较与分析,选择最佳治疗方法.方法:随机抽样两组髌骨严重粉碎性骨折病例,分别接受镍钛记忆合金聚髌器与改良AO张力带钢丝治疗.结果:镍钛记忆合金聚髌器组的手术时间、膝关节功能恢复所需时间以及随访时的临床疗效均优于改良AO张力带钢丝.两组均存在显著性差异(P<0.05).结论:镍钛记忆合金聚髌器在治疗髌骨严重粉碎性骨折中,内固定效果可靠,兼备复位与固定的良好生物力学性能,可更早地进行膝关节功能锻炼,而且方法简便易行,并发症少,是一种十分理想的治疗方法.
목적:탐토빈골엄중분쇄성골절량충불동치료방법적료효비교여분석,선택최가치료방법.방법:수궤추양량조빈골엄중분쇄성골절병례,분별접수얼태기억합금취빈기여개량AO장력대강사치료.결과:얼태기억합금취빈기조적수술시간、슬관절공능회복소수시간이급수방시적림상료효균우우개량AO장력대강사.량조균존재현저성차이(P<0.05).결론:얼태기억합금취빈기재치료빈골엄중분쇄성골절중,내고정효과가고,겸비복위여고정적량호생물역학성능,가경조지진행슬관절공능단련,이차방법간편역행,병발증소,시일충십분이상적치료방법.
Objective:To investigate and compare the curative effects of two methods for severe comminuted patellar fractures and chcose the best therapy.Methods:To sampling two groups of severe comminuted patellar fractures randomly.The two groups were treated with NiTi patellar concententor and modified AO tension - band steel wire.Results:NiTi patellar concententor has less operation time,less knee function recover time and better clinical effect at follow- up than modified AO tension - hand steel wire.The difference is significance (P<0.05).Conclusions:In treating the severe comminuted patcllar,NiTi patellar concententor has a credible effect and has the capability of both displasis and fixation in biology- dynamics.It can take functional exercise of the knee earlier.It is also easy to operate and has fewer complications.It is quite a perfect therapy.