84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]申晟,代朋乙,袁延浩,等.改良張力帶內(nèi)固定與鎳鈦聚髕器內(nèi)固定治療髕骨橫形骨折的比較研究[J].中醫(yī)正骨,2018,30(04):28-31.
　SHEN Sheng,DAI Pengyi,YUAN Yanhao,et al.A comparative study of modified tension-band internal fixation versus nickel-titanium patellar concentrator internal fixation for treatment of patellar transverse fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(04):28-31.
點擊復(fù)制

改良張力帶內(nèi)固定與鎳鈦聚髕器內(nèi)固定治療髕骨橫形骨折的比較研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年04期
頁碼:
28-31
欄目:
臨床研究
出版日期:
2018-04-20

文章信息/Info

Title:
A comparative study of modified tension-band internal fixation versus nickel-titanium patellar concentrator internal fixation for treatment of patellar transverse fractures
作者:
申晟; 代朋乙; 袁延浩; 譚紅略
河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016
Author(s):
SHEN Sheng; DAI Pengyi; YUAN Yanhao; TAN Honglue
Luoyang Orthopedic-Traumatological Hospital,Zhengzhou 450016,Henan,China
關(guān)鍵詞:
骨折;  髕骨;  骨折固定術(shù); 內(nèi);  張力帶;  鎳鈦聚髕器
Keywords:
Keywords fractures; bone;  patella;  fracture fixation; internal;  tension band;  nickel-titanium patellar concentrator
摘要:
目的:比較改良張力帶內(nèi)固定與鎳鈦聚髕器內(nèi)固定治療髕骨橫形骨折的臨床療效和安全性。方法:回顧性分析2010年6月至2014年10月接受手術(shù)治療的63例髕骨橫形骨折患者的病例資料,接受改良張力帶內(nèi)固定手術(shù)治療者34例(改良張力帶組),接受鎳鈦聚髕器內(nèi)固定手術(shù)治療者29例(鎳鈦聚髕器組)。比較2組患者的手術(shù)時間、骨折愈合時間、并發(fā)癥發(fā)生情況及末次隨訪時的Böstman髕骨骨折臨床療效評分。結(jié)果:2組患者均順利完成手術(shù)。手術(shù)時間改良張力帶組(60.35±7.05)min、鎳鈦聚髕器組(61.83±6.23)min,2組患者手術(shù)時間的組間差異無統(tǒng)計學(xué)意義(t=-0.880,P=0.384)。2組患者均獲隨訪,隨訪時間24～36個月,中位數(shù)26個月。骨折均愈合,骨折愈合時間改良張力帶組(13.96±0.45)周、鎳鈦聚髕器組(14.23±0.51)周,2組患者骨折愈合時間的組間差異無統(tǒng)計學(xué)意義(t=-0.380,P=0.674)。末次隨訪時的2組患者膝關(guān)節(jié)Böstman評分比較,差異無統(tǒng)計學(xué)意義[(29.35±1.55)分,(29.59±1.05)分,t=0.712,P=0.496]。改良張力帶組,術(shù)后并發(fā)膝關(guān)節(jié)活動時疼痛12例,骨折愈合后取出內(nèi)固定,疼痛緩解; 并發(fā)克氏針或張力帶鋼絲(鈦纜)移位、松動4例,行支具外固定至骨折愈合。鎳鈦聚髕器組無膝關(guān)節(jié)疼痛及內(nèi)固定移位、松動等并發(fā)癥發(fā)生。改良張力帶組術(shù)后并發(fā)癥發(fā)生率高于鎳鈦聚髕器組(P=0.000)。結(jié)論:鎳鈦聚髕器內(nèi)固定與改良張力帶內(nèi)固定治療髕骨橫形骨折的臨床療效相當(dāng),但前者固定更牢固,安全性更高。
Abstract:
ABSTRACT Objective:To compare the clinical curative effects and the safety of modified tension-band internal fixation versus nickel-titanium patellar concentrator internal fixation in the treatment of patellar transverse fractures.Methods:The medical records of 63 patients with patellar transverse fractures who received surgical treatment from June 2010 to October 2014 were analyzed retrospectively.Thirty-four patients were treated with modified tension-band internal fixation(group A),while the others were treated with nickel-titanium patellar concentrator internal fixation(group B).Operative time,fracture healing time,complication incidence and Böstman clinical efficacy scores of patellar fracture at last follow-up were compared between the 2 groups.Results:The surgeries were finished successfully in all patients,and there was no statistical difference in the operative time between group A and group B(60.35+/-7.05 vs 61.83+/-6.23 min,t=-0.880,P=0.384).The patients in the 2 groups were all followed up for 24-36 months with a median of 26 months.All fractures healed in the 2 groups,and there was no statistical difference in the fracture healing time between the 2 group(13.96+/-0.45 vs 14.23+/-0.51 weeks,t=-0.380,P=0.674).There was no statistical difference in the Böstman knee scores between the 2 group at last follow-up(29.35+/-1.55 vs 29.59+/-1.05 points,t=0.712,P=0.496).Knee pain during daily activities were found after the surgery in 12 patients in group A and were relieved after the fractures healed and the internal fixators were removed.Displacement and loosening of kirschner wires or tension-band wires(titanium cable)were found in 4 patients in group A,and the external fixation with orthoses were performed on the 4 patients until the fracture healed completely.No complications such as knee pain and displacement and loosening of internal fixators were found in group B.The postoperative complication incidences were higher in group A compared to group B(P=0.000).Conclusion:Internal fixation with nickel-titanium patellar concentrator and internal fixation with modified tension-band are similar to each other in the clinical curative effects in treatment of patellar transverse fractures,while the former has such advantages as firmer fixation and higher safety.

參考文獻(xiàn)/References:

[1] YANG L,YUEPING O,WEN Y.Management of displaced comminuted patellar fracture with Titanium cable cerclage[J].Knee,2010,17(4):283-286.
[2] MELVIN JS,MEHTA S.Patellar fractures in adults[J].J Am Acad Orthop Surg,2011,19(4):198-207.
[3] 李春江.帶孔克氏針鋼絲纏繞加壓張力帶治療髕骨骨折療效觀察[J].中國修復(fù)重建外科雜志,2015,29(12):1466-1468.
[4] 于永杰,陳德生,焦兆德,等.三種不同手術(shù)方法治療套袖狀髕骨上極骨折的療效分析[J].中國矯形外科雜志,2016,24(12):1088-1091.
[5] ILLICAL E,BUCKLEY RE.Long term outcome of patella fractures:open reduction and internal fixation with stainless steel wire vs.non-absorbable braided polyester suture[J].Chin J Orthop Trauma,2011,13(11):1052-1059.
[6] 張春才,劉植珊,高建章,等.髕骨內(nèi)固定形狀記憶整復(fù)器的設(shè)計與臨床應(yīng)用[J].中華外科雜志,1989,27(11):692-695.
[7] 劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評定標(biāo)準(zhǔn)[M].北京:清華大學(xué)出版社,2002:82-83.
[8] BÖSTMAN O,KIVILUOTO O,NIRHAMO J.Comminuted displaced fractures of the patella[J].Injury,1981,13(3):196-202.
[9] GOSAL HS,SINGH P,FIELD RE.Clinical experience of patellar fracture fixation using metal wire or non-absorbable polyester—a study of 37 cases[J].Injury,2001,32(2):129-135.
[10] SMITH ST,CRAMER KE,KARGES DE,et al.Early complications in the operative treatment of patella fractures[J].J Orthop Trauma,1997,11(3):183-187.
[11] XUE Z,QIN H,DING H,et al.Two-Tension-Band technique in revision surgery for fixation failure of patellar fractures[J].Med Sci Monit,2016,22(3):2736-2741.
[12] ZHANG CC,WANG JL,XIAO J,et al.The research of NiTi-Patellar concentrator(NT-PC)and biomemory mechanical characteristics for treatment of every types of patellar fracture[J].J Bone Joint Injury,1996,1(2):78-81.
[13] LIU X,XU S,ZHANG C,et al.Application of a shape-memory alloy internal fixator for treatment of acetabular fractures with a follow-up of two to nine years in China[J].Int Orthop,2010,34(7):1033-1040.
[14] ZHAO X,ZHU ZA,SUN YH,et al.Nickel-titanium shape-memory sawtooth-arm embracing fixator for periprosthetic femoral fractures[J].Int Orthop,2012,36(3):619-626.
[15] ZHAO QM,GU XF,CHENG L,et al.Comparison of Titanium cable tension band and nickel-titanium patella concentrator for patella fractures[J].Adv Clin Exp Med,2017,26(4):615-619.

相似文獻(xiàn)/References:

[1]茆軍,張惠法,嚴(yán)培軍,等.Ilizarov外固定支架結(jié)合克氏針固定治療Pilon骨折[J].中醫(yī)正骨,2015,27(10):32.
[2]伍輝國,江克羅,張文正,等.手法復(fù)位杉樹皮小夾板固定治療兒童閉合性指骨骨折[J].中醫(yī)正骨,2015,27(10):63.
[3]孫群周.組合式外固定器固定結(jié)合有限內(nèi)固定治療 GustiloⅢ型脛骨開放性骨折[J].中醫(yī)正骨,2015,27(09):25.
[4]朱旭偉,萬春友,張濤,等.外固定架固定結(jié)合髓腔內(nèi)異體骨支撐治療四肢粉碎性骨折[J].中醫(yī)正骨,2015,27(12):68.
[5]楊少輝,許紅霞,邢健昆.正骨伸筋膠囊在膝關(guān)節(jié)周圍骨折術(shù)后康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):43.
[6]譚新歡,畢宏政,聶偉志,等.SandersⅡ型跟骨骨折手法復(fù)位克氏針 內(nèi)固定術(shù)中植骨的臨床研究[J].中醫(yī)正骨,2015,27(06):6.
　TAN Xinhuan,BI Hongzheng,NIE Weizhi,et al.Clinical research on bone grafting after manipulative reduction and kirschner wire internal fixation for treatment of sandersⅡcalcaneal fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):6.
[7]林全藝,丁振貝,陳慶運,等.彈性髓內(nèi)釘內(nèi)固定治療兒童四肢長骨干骨折[J].中醫(yī)正骨,2015,27(03):52.
[8]董樂樂,連建強.生物學(xué)內(nèi)固定原則在手術(shù)治療長骨骨折不愈合中的應(yīng)用[J].中醫(yī)正骨,2013,25(03):73.
[9]王金華,陳建龍,張軍,等.加壓鋼板內(nèi)固定治療兒童脛腓骨開放性骨折[J].中醫(yī)正骨,2012,24(12):40.
[10]蘭樹華,黃淑明,鄭榮宗,等.骨皮質(zhì)剝離加植骨治療鎖定鋼板內(nèi)固定術(shù)后骨不連、骨延遲愈合[J].中醫(yī)正骨,2012,24(12):46.

備注/Memo

備注/Memo:
基金項目:河南省科技攻關(guān)計劃項目(172102310455) 通訊作者:譚紅略 E-mail:[email protected]
更新日期/Last Update: 2018-08-24