CAJ | 학술논문

目的：比较聚髌器与张力带治疗髌骨骨折的临床疗效。方法：将我院收治的72例髌骨骨折患者随机分为镍钛聚髌器内固定治疗组（聚髌器组）和张力带内固定治疗组（张力带组），每组各36例，观察两组患者术后下床活动时间、骨折愈合时间及术后并发症，同时对膝关节功能进行评价。结果：聚髌器组患者术后下床活动时间明显短于张力带组患者（P<0.05），术后并发症发生率为5.6%，明显低于张力带患者的22.2%，组间差异有统计学意义（P<0.05）。两组患者在骨折愈合时间及膝关节功能优良率方面的差异未见统计学意义（P＞0.05）。结论：聚髌器与张力带治疗髌骨骨折均能取得较好的疗效，但聚髌器治疗对患者的损伤较小，并发症较少，更有利于患者术后的恢复，值得临床推广使用。
목적：비교취빈기여장력대치료빈골골절적림상료효。방법：장아원수치적72례빈골골절환자수궤분위얼태취빈기내고정치료조（취빈기조）화장력대내고정치료조（장력대조），매조각36례，관찰량조환자술후하상활동시간、골절유합시간급술후병발증，동시대슬관절공능진행평개。결과：취빈기조환자술후하상활동시간명현단우장력대조환자（P<0.05），술후병발증발생솔위5.6%，명현저우장력대환자적22.2%，조간차이유통계학의의（P<0.05）。량조환자재골절유합시간급슬관절공능우량솔방면적차이미견통계학의의（P＞0.05）。결론：취빈기여장력대치료빈골골절균능취득교호적료효，단취빈기치료대환자적손상교소，병발증교소，경유리우환자술후적회복，치득림상추엄사용。
Objective Compared with the clinical curative effect of treatment of patellar fractures by patellar concentrator and tension triangular band.Methods Our hospital 72 cases of patellar fracture patients were randomly divided into patellar concentrator group and tension triangular band group, 36 cases in each group. Observe two groups of patients with postoperative bed activity time, fracture healing time, postoperative complications, and evaluate the function of the knee joint.Results Patellar concentrator group with postoperative ambulation time shorter than tension triangular band groups(P < 0.05), patellar concentrator set of the incidence of postoperative complications was 5.6%, tension triangular band groups was 22.2%, the difference was statistically significant (P < 0.05).Conclusions Patellar concentrator less damage to patients, With less complications, better for patients with postoperative recovery, worth clinical promotion use.