双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折

摘要

Objective :To investigate the clinical effects of double-loop cerclage wire No. 10 and the two梡art patellar concertration for treatment of comminuted patellar fracture. Methods: From June 2004 to June 2011,86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No. 10 and the two-part palellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right,with 3 fracture pieces in 32 cases,4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Boatman patella fractures criteria in all patients. Results: All patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Bostman score was (27.65?.05). The outcome was excellent in 78 cases and good in 8 cases. Conclusion:The double-loop cerclage wire No.10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity,good reduction,stable fixation,early functional exercise ,and satisfactory functional recovery.%目的:现察双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折的临床疗效.方法:自2004年6月至2011年6月,采用双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折86例,其中男48例,女38例；年龄19～75岁,平均42.5岁；左侧52例,右侧34例.86例患者均为粉碎性骨折,3个骨折块者25例,4个骨折块者32例,4个以上骨折块者29例.手术时间40～70 min.所有病例术后根据B(o)stman等髌骨骨折疗效评价标准进行评分.结果:86例全部得到随访,时间3个月～6年,平均3.5年.B(o)stman评分总平均分(27.65±2.05)分,优78例,良8例.结论:双环10号线环扎并分体式髌骨爪治疗髌骨粉碎骨折具有手术简单、复位良好、固定稳定的优点,可早期进行锻炼,关节功能恢复满意.