钢缆钉与张力带钢丝治疗髌骨骨折的比较研究.doc

钢缆钉与张力带钢丝治疗髌骨骨折的疗效分析 倪卫东 高仕长 梁安霖 (重庆医科大学附属第一医院骨科，重庆 400016) 提 要：目的 探讨钢缆钉与张力带钢丝治疗髌骨横行骨折的疗效。方法 钢缆钉组28例，平均随访时间8月。张力带钢丝组30例，平均随访时间16月。比较两组手术时间、骨折临床愈合时间、术后半年膝关节屈曲活动范围。采用成组设计t检验及t，检验进行统计学分析。结果 钢缆钉组在骨折临床愈合时间、术后半年膝关节屈曲活动范围方面明显优于张力带钢丝组(P0．05)。结论 钢缆钉治疗髌骨横行骨折具有操作简单、固定可靠、骨折愈合快、愈合率高、膝关节功能好的优点，符合生物力学要求，疗效满意，有临床推广应用价值。 关键词 髌骨；骨折；钢缆钉；骨折固定术；内 中图法分类号 R683.42 文献标识码 Analysis of curative effects of patellar fractures treated by open reduction and internal fixation with Cable Pin or tension band wire NI Wei-dong，Gao Shi-chang，Liang An-lin (Department of Orthopaedics, the First Affiliated Hospital， Chongqing Medical University) Abstract：Objective To explore the curative effects of open reduction and internal fixation with Cable Pin or tension band wire for patellar transverse fractures. Methods 28 cases and another 30 cases were separately enrolled in the Cable Pin group (8 monthes for mean follow-up time)and the tension band wire group(16 monthes for mean follow-up time). The t or t， test as statistical methods were used to compare the clinical results betweeen two groups, including the opeative time, the average clinical healing time and the mean range of the knee flexion 6 months postoperatively. Results The efficacy of the Cable Pin group is significantly better than the tension band wire group at the average clinical healing time and the mean range of the knee flexion 6 months postoperatively(P0.05). Conclusion The way in treating patellar fractures with Cable Pin is characterized by simple manipulation, rigid 作者介绍：倪卫东（1966-），男，重庆市人，副教授，硕士生导师。 主要研究方向：创伤骨科。电话：02389011019，E-mail：niweidong18@163.com fixation, rapid healing, high healing rate and excellent function of the knee , and this internal fixation which acquires satisfactory results is accordance with biomechanics and deserve the clinical expansion. Key Words： patellar；fracture；Cable Pin；fracture fixation；internal 髌骨骨折在临床较为常见，其手术方法颇多，疗效各有差异[1－3]。我们从2006年7月开始利用一种新的内固定物－钢缆钉（Cable Pin，Zimmer公司）(图1)治疗髌骨横行