CAJ | 학술논문

目的：探讨采用钢丝张力带联合髌骨环治疗髌骨粉碎性骨折的疗效及优势。方法：2009年2月至2013年8月，采用钢丝张力带联合髌骨环治疗髌骨粉碎性骨折78例，其中男49例，女29例，年龄18~75岁，平均48.5岁，均急诊手术治疗，术后随访观察骨折愈合情况及膝关节功能恢复情况。结果：所有患者均获得骨性愈合，愈合时间为4~9个月，平均6.9个月，未发现内固定物松动、断裂失效等情况，末次随访 B?stman 评分，优69例，良8例，差0例，优良率100%。结论：采用钢丝张力带联合髌骨环治疗髌骨粉碎性骨折能做到坚强固定，利于早期功能康复，骨折愈合率高，且并发症少，是种理想选择。
목적：탐토채용강사장력대연합빈골배치료빈골분쇄성골절적료효급우세。방법：2009년2월지2013년8월，채용강사장력대연합빈골배치료빈골분쇄성골절78례，기중남49례，녀29례，년령18~75세，평균48.5세，균급진수술치료，술후수방관찰골절유합정황급슬관절공능회복정황。결과：소유환자균획득골성유합，유합시간위4~9개월，평균6.9개월，미발현내고정물송동、단렬실효등정황，말차수방 B?stman 평분，우69례，량8례，차0례，우량솔100%。결론：채용강사장력대연합빈골배치료빈골분쇄성골절능주도견강고정，리우조기공능강복，골절유합솔고，차병발증소，시충이상선택。
Objective: To discuss the clinical of using tension band steel wire combined with patellar ring in the treatment of comminuted patellar fracture. Methods: From Feb.2009 to Aug.2013,78 cases of patients with comminuted patellar fracture, including 49 males, 15 females, aging 18 to 50 years, average 48.5 years old, were treated with tension band steel wire combined with patellar ring. Results: All fractures were healed, heal time was 4to 9 months, average 6.9 months, no internal fixation loosening, fracture failure were found. At the last time of follow-up, the clinical results wire assessed according to the B?stman scores: excellent in 69 cases, good in 8 cases. The excellent and good rate was 100%. Conclusion: Tension band steel wire combined with patellar ring for the treatment of comminuted patellar fracture can fix rigidly, it benefit for early functional rehabilitation with high fracture haling rate and fewer complications,it is a ideal treatment method.