髌骨骨折修复：心钉张力带及钢丝内固定的比较.docVIP

髌骨骨折修复：空心钉张力带及钢丝内固定的比较 赵 航，肖海军(上海市第六人民医院奉贤区中心医院骨科，上海市 201400) 文章亮点： 1 此问题的已知信息：髌骨骨折常用的内固定治疗方法有克氏针张力带内固定、空心钉张力带内固定、单纯钢丝环扎内固定。 2 文章增加的新信息：空心钉张力带钢丝内固定髌骨骨折，并发症发生较少，患侧膝关节功能恢复较好，治愈率较高，是安全可靠的治疗方法。 3 临床应用的意义：空心钉张力带钢丝内固定治疗髌骨骨折效果确切，是目前最为理想的治疗方法。 关键词： 骨关节植入物；骨与关节学术探讨；髌骨骨折；粉碎性骨折；内固定；空心钉；张力带；钢丝；克氏针；股四头肌；骨折移位 主题词： 骨折，应力性；骨折，闭合性；骨折，粉碎性；软组织损伤；膝损伤 摘要 背景：空心钉张力带钢丝内固定是治疗髌骨骨折最常用的内固定方法。 目的：评价空心钉张力带钢丝联合应用内固定治疗髌骨骨折的效果。 方法：应用文献检索的方法获取空心钉张力带钢丝内固定治疗髌骨骨折的相关研究文献，对符合研究标准的文献进行深入的数据分析。对应用空心钉张力带钢丝内固定治疗髌骨骨折的患者进行观察随访，评估治疗后骨折愈合情况、并发症发生情况以及患侧膝关节的功能恢复情况，明确空心钉张力带钢丝内固定髌骨骨折的效果。 结果与结论：文献研究中结果显示，空心钉张力带钢丝联合应用内固定治疗髌骨骨折后，骨折愈合良好，螺钉或钢丝松动、断裂、脱落等并发症发生概率较低，患侧膝关节功能恢复评估可达90%以上。临床应用病例分析中结果显示，空心钉张力带钢丝联合应用内固定治疗髌骨骨折可获得良好的治疗效果，患侧膝关节功能恢复评估达90%以上，与文献研究中的结果一致。表明空心钉张力带钢丝联合应用内固定治疗髌骨骨折是理想可靠的方法之一。 Patella fracture repair: Cannulated screw tension band versus steel wire fixation Zhao Hang, Xiao Hai-jun (Department of Orthopedics, Central Hospital of Fengxian District, Sixth People’s Hospital of Shanghai, Shanghai 201400, China) Abstract BACKGROUND: Cannulated screw tension band combined with wire fixation is most commonly used for treatment of patella fractures. OBJECTIVE: To evaluate the clinical outcomes of combination of cannulated screw tension band and wire fixation in the treatment of patella fractures. METHODS: A literature search method was employed to retrieve relevant articles addressing cannulated screw tension band and wire fixation of patella fractures. In-depth analysis of literatures meeting the study criteria was carried out. Patients with patella fractures who received cannulated screw tension band and wire fixation were followed up to evaluate the postoperative fracture healing, complications and functional recovery of the knee joint at the injury side. Then, the clinical efficacy of cannulated screw tension band combined with wire fixation was analyzed. RESULTS AND CONCLUSION: After treatment with cannulated screw tension band and wire fixation, patients with patella fractures exhibited good fracture healing