髌骨骨折两种内固定方法疗效比较.docVIP

髌骨骨折两种内固定方法疗效比较[摘要] 目的：探讨记忆双向张力钩固定术与镍钛聚髌器内固定术两种方法治疗髌骨骨折的疗效。方法：选择2009年10月～2011年1月本院收治的髌骨骨折患者78例，将其随机分为观察组和对照组各39例，观察组采用记忆双向张力钩固定术，对照组采用镍钛聚髌器内固定术。所有患者均随访6～14个月。结果：观察组骨折愈合率为92.31%，对照组骨折愈合率为82.05%，两组比较，差异有统计学意义（P＜0.05）。结论：记忆双向张力钩固定术治疗髌骨骨折具有可靠的生物力学固定效果，疗效满意，值得临床推广使用 [关键词] 髌骨骨折；记忆双向张力钩；镍钛聚髌器；内固定术 [中图分类号] R683.42 [文献标识码] C [文章编号] 1674-4721（2011）11（c）-164-02 The comparative effect of two internal fixation methods in treating patellar fractures MA Shaopeng The Township Center Hospital of Sanjiaji Town in Guanghe County, Gansu Province, Guanghe 731301, China [Abstract] Objective: To discuss the effect of bidirectional memory tension hook fixation and poly-patella ulensil internal fixation in the treatment of patellar fractures. Methods: 78 cases patellar fractures patients were slected from October 2009 to January 2011 and were divided into observation group 39 cases and control group 39 cases. Observation group were given bidirectional memory tension hook fixation and control group were given poly-patella ulensil internal fixation. All patients had got the follow-up visit for six to fourteen months. Results: The fracture scar over rate of observation group and control group were 92.31% and 82.05%, there was significant difference between two groups (P＜0.05). Conclusion: Bidirectional memory tension hook fixation in the treatment of patellar fractures has credible animal mechanics fastness effect, and has satisfying curative effect, it is worth of clinical using. [Key words] Patellar fractures; Bidirectional memory tension hook; Poly-patella ulensil; Internal fixation 髌骨骨折是一种常见的关节内骨折，发生率约占全身各部位骨折的1％，其复位固定要求较高，髌骨骨折治疗稍有不当就会引起创伤性关节炎、关节僵硬、疼痛、跛行等并发症[1]。近年来髌骨骨折的内固定方法文献报道种类很多[2-3]，无论哪种手术方式，其目的都是修复伸膝装置，尽可能解剖复位骨折，缩短骨折愈合时间，保证膝关节早起有效康复锻炼。本文笔者比较记忆双向张力钩固定术与镍钛聚髌器内固定术两种方法治疗髌骨骨折的疗效，现报道如下： 1 资料与方法 1.1 一般资料 选择2009年10月～2011年1月本院收治的髌骨骨折患者78例，将其随机分为观察组和对照组各39例，观察组39例中，男28例，女11例；年龄31～69岁，平均49岁；左侧26例，右侧13例；致伤原因：摔伤21例，车祸伤12例，坠落伤6例；闭合性骨折28例，开放性骨折11例。对照组39例中，男26例，女13例；年