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[1]李順東,許超,童培建.張力帶別針結(jié)合鋼纜內(nèi)固定與空心釘結(jié)合鋼絲張力帶 內(nèi)固定治療髕骨橫形骨折的比較研究[J].中醫(yī)正骨,2014,26(10):35-39.
　Li Shundong*,Xu Chao,Tong PeiJian.*.A retrospective trial of internal fixation with tension band pin and wirerope versus hollow nail and steel-wire tension band in the treatment of patellar transverse fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(10):35-39.
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張力帶別針結(jié)合鋼纜內(nèi)固定與空心釘結(jié)合鋼絲張力帶 內(nèi)固定治療髕骨橫形骨折的比較研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年10期
頁碼:
35-39
欄目:
臨床研究
出版日期:
2014-10-30

文章信息/Info

Title:
A retrospective trial of internal fixation with tension band pin and wirerope versus hollow nail and steel-wire tension band in the treatment of patellar transverse fractures
作者:
李順東1; 許超2; 童培建3
1.浙江省臺州市中醫(yī)院,浙江 臺州 318000;
2.浙江中醫(yī)藥大學(xué)附屬第二醫(yī)院,浙江 杭州 310005;
3.浙江中醫(yī)藥大學(xué)附屬第一醫(yī)院,浙江 杭州 310006
Author(s):
Li Shundong*; Xu Chao; Tong PeiJian.*
Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,Zhejiang,China
關(guān)鍵詞:
髕骨 骨折 骨折固定術(shù); 內(nèi) 內(nèi)固定器 骨釘 骨固定鋼絲 治療; 臨床研究性
Keywords:
Patella;  Fractures; bone;  Fracture fixation; internal;  Internal fixators;  Bone nails;  Bone wires;  Therapies; investigational
摘要:
目的:比較張力帶別針結(jié)合鋼纜內(nèi)固定和空心釘結(jié)合鋼絲張力帶內(nèi)固定治療髕骨橫形骨折的臨床療效與安全性。方法:回 顧性分析67例髕骨橫形骨折患者的病例資料,其中采用張力帶別針結(jié)合鋼纜內(nèi)固定33例(觀察組),采用空心釘結(jié)合鋼絲張力帶內(nèi) 固定34例(對照組); 橫斷骨折32例,上極骨折16例,下極骨折11例,粉碎性骨折8例。比較2組患者的手術(shù)時間、骨折愈合時間、術(shù) 后并發(fā)癥的發(fā)生情況及患者滿意度情況。參照Böstman髕骨骨折療效評分標(biāo)準(zhǔn)評定2組患者的臨床療效。結(jié)果:①一般指標(biāo) 。觀察組患者的手術(shù)時間小于對照組[(40.80±27.50)min,(42.50±23.30)min,t=7.151,P=0.042]; 2組患者骨折愈合 時間比較,差異無統(tǒng)計學(xué)意義[(12.09±1.77)min,(12.51±1.21)min,t=6.823,P=0.062]。②臨床療效與患者滿意度。 觀察組優(yōu)28例、良4例、可1例,對照組29例、良3例、可2例。2組患者臨床療效比較,差異無統(tǒng)計學(xué)意義(Z=0.000,P=1.000)。觀 察組患者滿意27例、基本滿意4例、不滿意2例,對照組患者滿意25例、基本滿意5例、不滿意4例。2組患者滿意度比較,差異無統(tǒng) 計學(xué)意義(Z=-0.853,P=0.394)。結(jié)論:對于閉合性髕骨橫形骨折患者而言,雖然張力帶別針結(jié)合鋼纜內(nèi)固定與空心釘結(jié)合鋼絲張 力帶內(nèi)固定在骨折愈合時間、臨床療效、患者滿意度及安全性方面無明顯差異,但張力帶別針結(jié)合鋼纜內(nèi)固定具有操作簡單、手 術(shù)時間短的優(yōu)點(diǎn),是治療髕骨橫形骨折的一種較理想的方法,值得臨床推廣應(yīng)用。
Abstract:
Objective:To compare the clinical curative effects and safety of internal fixation with tension band pin and wirerope versus hollow nail and steel-wire tension band in the treatment of patellar transverse fractures.Methods:The medical records of 67 patients with patellar transverse fracture were analyzed retrospectively.Thirty-three patients(observation group)were treated with internal fixation with tension band pin and wirerope,while the others(control group)were treated with internal fixation with hollow nail and steel-wire tension band.The fractures belonged to transverse fractures(32),upper polar fractures(16),lower polar fractures(11)and comminuted fractures(8).The two groups were compared with each other in such parameters as operative time,fracture healing time,postoperative complications and satisfaction degree of the patients.The clinical curative effects were evaluated according to Böstman patellar fracture efficacy criteria.Results:The operative time of observation group were less than that of control group(40.80+/-27.50 vs 42.50+/-23.30 min,t=7.151,P=0.042)and there was no statistical difference in the fracture healing time between the 2 groups(12.09+/-1.77 vs 12.51+/-1.21 min,t=6.823,P=0.062).Twenty-eight patients obtained an excellent result,4 good and 1 fair in the observation group,while 29 patients obtained an excellent result,3 good and 2 fair in the control group.There was no statistical difference in the clinical curative effects between the 2 groups(Z=0.000,P=1.000).Twenty-seven patients were satisfied with the results,4 basically satisfied and 2 unsatisfied in the observation group; while twenty-five patients were satisfied with the results,5 basically satisfied and 4 unsatisfied in the control group.There was no statistical difference in the satisfaction degree of the patients between the 2 groups(Z=-0.853,P=0.394).Conclusion:There are no significant difference in fracture healing time,clinical curative effects,satisfaction degree of the patients and safety between the two methods of internal fixation,However,internal fixation with tension band pin and wirerope is an ideal method for treatment of patellar transverse fractures for simple operation and short operative time,so it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省科技廳中西醫(yī)結(jié)合骨關(guān)節(jié)病研究科技創(chuàng)新團(tuán)隊(duì)項(xiàng)目(2011R50022-05)
通訊作者:許超 E-mail:[email protected]
更新日期/Last Update: 2014-10-30