CAJ | 학술논문

目的探讨膝前正中直切口髌骨缝合线双荷包法结合张力带缝合法治疗髌骨骨折的疗效.方法对206例髌骨骨折，采用膝前正中直切口髌骨缝合线荷包缝合结合张力带缝合法治疗，并辅以术后早期功能锻炼.结果187例随访12~24个月，平均19个月.骨折愈合时间8~12周，无内固定松动及再骨折.按陆裕朴等功能评定标准：优168例，良16例，可3例，优良率达到98.4%.结论膝前正中直切口髌骨缝合线双荷包结合张力带缝合法治疗髌骨骨折显露充分，切口小，不损伤隐神经和膝降动脉髌下支，操作简单，缝合方法符合生物学固定方法及张力带原则，丝线组织相容性好，可早期活动，并发症少，无需二次手术取出，费用低廉.
목적탐토슬전정중직절구빈골봉합선쌍하포법결합장력대봉합법치료빈골골절적료효.방법대206례빈골골절，채용슬전정중직절구빈골봉합선하포봉합결합장력대봉합법치료，병보이술후조기공능단련.결과187례수방12~24개월，평균19개월.골절유합시간8~12주，무내고정송동급재골절.안륙유박등공능평정표준：우168례，량16례，가3례，우량솔체도98.4%.결론슬전정중직절구빈골봉합선쌍하포결합장력대봉합법치료빈골골절현로충분，절구소，불손상은신경화슬강동맥빈하지，조작간단，봉합방법부합생물학고정방법급장력대원칙，사선조직상용성호，가조기활동，병발증소，무수이차수술취출，비용저렴.
Objective To discuss the technique and effect of the methods of patellar suture with double ring suture band combining with tension band to heal patella fracture by straight incision in the front of knee. Methods 206 patients patella fracture, by early slit for recovery site, the methods of double ring suture band combining with tension band for stated healing and assistant early functional practice after operation. Results All patients were followed up from 12 months to 24 months, average 19 months. All fracture were healable. As the level of LU Yu-pu,the excellent results is 168,the good results is 16,th middle results is 3.The rate of excellent and good is 98.4%. Conclusions The methods of patellar suture with double ring suture band combining with tension band to heal patella fracture by straight incision in the front of knee, has enough surgical field in small incision and not injury saphenous nerve and artery of patellar descending branch. The principle of the method consists with biomechanics and tension band principle. Patellar suture has histocompatibility. By early activity after operation and little postoperative complications, the patients recover fastly by low-cost, the effect is specific and the internal fixation need not hand out by operation.