CAJ | 학술논문

目的探讨应用小直切121及前"8"字单纯钢丝张力带内固定治疗移位髌骨骨折的临床效果.方法采用膝前纵行直切口与髌骨纵径相若.向两侧分离皮瓣,仅显露髌腱膜和髌骨横径,单纯用1.2mm钢丝作横"8"字张力带内固定治疗移位髌骨骨折93例.结果随访6～30个月,93例均获得骨性愈合.按张春才疗效标准评定:优67例,良23例,可3例,优良率达96.8%.结论该内崮定法治疗髌骨骨折坚固可靠,允许早期功能锻炼,与克氏针张力带内固定的效果相似,而操作简易,创伤较小,并发症更少,尤其对横断形及骨折块较大的粉碎性髌骨骨折是值得推荐的治疗方法.
목적 탐토응용소직절121급전"8"자단순강사장력대내고정치료이위빈골골절적림상효과.방법 채용슬전종행직절구여빈골종경상약.향량측분리피판,부현로빈건막화빈골횡경,단순용1.2mm강사작횡"8"자장력대내고정치료이위빈골골절93례.결과 수방6～30개월,93례균획득골성유합.안장춘재료효표준평정:우67례,량23례,가3례,우량솔체96.8%.결론 해내고정법치료빈골골절견고가고,윤허조기공능단련,여극씨침장력대내고정적효과상사,이조작간역,창상교소,병발증경소,우기대횡단형급골절괴교대적분쇄성빈골골절시치득추천적치료방법.
Objective To explore the clinic effects of treating the displaced patellar fracture with a small longitudinal midline incision and internal fixation of the sidelong figure-of-eight anterior tension-band wiring. Methods 93 ea.ses of the displaced patellar fractures were internal fixated with the sidelong figure-of-eight anterior tension-band wiring(1.2 mm) simply, which made a longitudinal midline incision,it length can be made equal to the diam of patella approximately,that gives to enough expose the entire anterior surface of the patella and the patellar tendons. Results Follow-up for 6 to 30 months,93 cases were all obtained bony union. By Zhang Chun-cai score,there were 67 cases excellent,23 good and 3 fair,the excellent and good rate was 96.8%. Conclusion Treating patellar fracture with the fixation methods are very stabilization,and can functional exercise in early. It had similar results to reports using modified (with Kirschner wires) tension band techniques. The methods is simple and mini-trauma and invasive device minimally which results in fewer complications,especially as fractures traversed and comminuted with relative larger fragments are concerned.