CAJ | 학술논문

目的探讨钢缆(cable)环扎加改良张力带治疗粉碎性髌骨骨折的疗效.方法回顾性分析120例粉碎性髌骨骨折患者应用钢缆环扎加改良张力带内固定(cable组,55例)与镍钛合金-聚髌器(NT-PC)内固定(NT-PC组,65例)的临床疗效.结果所有病例随访10～38(19.50±1.15)个月,骨折均于12周内愈合.两组手术时间、术中出血量、住院时间、骨折愈合时间、术后并发症比较差异无统计学意义(P＞0.05).术后cable组B(o)stman评分(27.0±0.2)分,明显优于NT-PC组的(25.1±0.6)分(P＜0.05).结论应用钢缆环扎加改良张力带治疗粉碎性髌骨骨折操作方便,疗效优良.
목적 탐토강람(cable)배찰가개량장력대치료분쇄성빈골골절적료효.방법 회고성분석120례분쇄성빈골골절환자응용강람배찰가개량장력대내고정(cable조,55례)여얼태합금-취빈기(NT-PC)내고정(NT-PC조,65례)적림상료효.결과 소유병례수방10～38(19.50±1.15)개월,골절균우12주내유합.량조수술시간、술중출혈량、주원시간、골절유합시간、술후병발증비교차이무통계학의의(P＞0.05).술후cable조B(o)stman평분(27.0±0.2)분,명현우우NT-PC조적(25.1±0.6)분(P＜0.05).결론 응용강람배찰가개량장력대치료분쇄성빈골골절조작방편,료효우량.
Objective To discuss the effect of operations for comminuted patella fractures with cable cerclage and revised tension band. Method Retrospective study of clinical effects of 120 patella fractures cases which used cable(cable group,55 cases) or NT-PC (NT-PC group,65 cases) to internal fix.Results At 10 to 38 ( 19.50 ± 1.15 ) months follow-up, all cured well in 12 weeks. Compared with the operative time, the amount of blood loss, length of hospitalization, time for cure, the incidence of complications,there were no significant differences between two groups (P ＞ 0.05 ). The B (o)stman score of cable group [(27.0 ±0.2) scores] was better than that of NT-PC group [(25.1 ±0.6) scores](P＜0.05). Conclusion Using cable cerclage and revised tension band to internal fix for comminuted patella fractures,the operations are facile and the results are satisfactory.