CAJ | 학술논문

目的：探讨记忆金属髌爪器与钢丝张力带用于治疗髌骨骨折的疗效。方法选取闭合性髌骨骨折55例，将其中的50例患者随机分为记忆合金髌爪器组（n=35）和钢丝张力带组（n=15）。分别进行髌爪器和钢丝张力带2种内固定治疗方法，对骨折复位程度，关节活动度及膝关节功能进行分析。结果髌爪器组35例完全愈合，钢丝张力带组10例完全愈合，4例疗效不甚满意，1例遗留膝关节功能受限，2组比较差异有统计学意义（P<0.05）。结论记忆金属髌爪器治疗髌骨骨折，内固定可靠，具有良好的生物力学效应，可早期进行膝关节功能锻炼，且并发症少，临床效果明显优于克氏针张力带。
목적：탐토기억금속빈조기여강사장력대용우치료빈골골절적료효。방법선취폐합성빈골골절55례，장기중적50례환자수궤분위기억합금빈조기조（n=35）화강사장력대조（n=15）。분별진행빈조기화강사장력대2충내고정치료방법，대골절복위정도，관절활동도급슬관절공능진행분석。결과빈조기조35례완전유합，강사장력대조10례완전유합，4례료효불심만의，1례유류슬관절공능수한，2조비교차이유통계학의의（P<0.05）。결론기억금속빈조기치료빈골골절，내고정가고，구유량호적생물역학효응，가조기진행슬관절공능단련，차병발증소，림상효과명현우우극씨침장력대。
Objective To discuss the effect of memory metal claw with patellar wire tension band for the treatment of patella fracture.Methods A total of 55 cases of patellar fracture treated with closed period,of which 50 cases were performed nitinol patellar / patellar claws and AO tension band group / Kirschner wire tension band ifxation of fractures degree range of motion and knee function were analyzed.Results The memory metal patellar control group of 35 patients claw completely healed,wire tension band group of 10 patients healed completely,not satisifed with the efifcacy of four cases,including one case of the legacy of the knee is more limited functionality.Conclusion The memory metal claw treatment of patellar patellar fracture fixation reliable,have good biomechanical effects can be knee early functional exercise,and fewer complications,clinical results signiifcantly better than tension band.