髌骨骨折分型及治疗策略改进的疗效分析_刘宝平.docVIP

髌骨骨折分型及治疗策略改进的疗效分析_刘宝平 DOI:10.13795/j.cnki.sgkz.2009.03.029·176· 文章编号:1008-5572(2009)03-0176-04　.15,.3,.2009　 髌骨骨折分型及治疗策略改进的疗效分析 刘宝平,王涛,张鹤令,李克文,杨杰山* (青海大学附属医院骨科,青海西宁　810000) 　　摘要:目的　探讨髌骨骨折分型及治疗的临床效果,寻找治疗髌骨骨折的规范化术式。方法　在对1998～2000年(A组)48例髌骨骨折疗效欠佳病例分析的基础上,对2000～2006年(B组)109例髌骨骨折的分型及治疗策略改进,做回顾性总结分析。将髌骨骨折分为七种类型,对109例髌骨骨折进行分型,对应选择合理的治疗方法并观察其疗效。结果　术后AB两组均随访12～36个月,平均26个月,按陆裕朴等的疗效评定标准进行评定,A组:优良率89.6%,优比率75%。B组:优良率96.3%,优比率86.2%。结论　在传统髌骨骨折分型的基础上重新对其归类、补充以及改进治疗方法,在保证原有髌骨骨折治疗优良率的同时,可明显提高优良率及优比率。 关键词:髌骨骨折;分型;策略;改进;内固定 中图分类号:R683.42　　文献标识码:B EfficacyAnalysisofImprovementonClassificationandofTreatmentStrategiesforPatellarFrac-ture LIUBao-ping,WANGTao,ZHANGHe-ling,etal (DepartmentofOrthopaedics,theAffiliatedHospitalofQinghaiCollege,Xi′ning810000,China) Abstract:Objective　Toexploreaclassificationmethodanditsclinicalefficacyoftreatmentforpatellarfrac-tures.Methods　Basedonthe48cases(Agroup)withpatellarfracturebetween1998and2000whosetherapeuticeffi-cienciesarenotverygood,the108cases(Bgroup)withpatellarfracturebetween2000and2006wereimprovedontheclassificationandtherapeuticmethod.Accordingtorespectiveanalysis,thepatellarfracturewasdividedintoⅤⅢtypes,selectreasonabletherapeuticmethodsandobservethetherapeuticeffect.Results　Allpatientswerefollowed ′upfrom12monthsto36monthswith26monthsontheaverage.AccordingtoLuyupusevaluationcriteriaofthera- %,theexcellentratewas77.08%,andthepoorratepeuticefficiency,Agroup:theexcellentandgoodratewas91.67 was6.2%.Bgroup:theexcellentandgoodratewas97.20%,theexcellentratewas86.1%,andthepoorratewas0%.Conclusion　Torecapitulateandsupplythetypebasedonthetraditionaltypeofpatellarfractureandtoimproveitstherapeuticmethods,notonlyensureoriginalrateofexcellentandgood,butalsosignificantlyincreasetherateandtherespectiverateofexcellentandgood,andreducetherateoffairandpoor. Keywords:patellarfracture;Classification;Strategies;Fixation 　　随着生活节奏的加快,道路交通的发展,髌骨骨折的发 生实际已超过报道的1%发生率[1]下极)8例;粉碎骨折19例。B组:男87例,女22例