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1、聯(lián)合固定技術(shù)治療離骨粉碎性骨折的臨床探討鄭秋濤蘇立新梁衛(wèi)東趙小明李立東曹曉強宗雙樂唐山市第二醫(yī)院創(chuàng)傷骨科摘要:目的探討克氏針、張力帶、鋼絲環(huán)扎、可吸收絲線縫合聯(lián)合固定技術(shù)治療濮骨粉碎性骨折的臨床效果。方法回顧性分析2010年6月一2015年5月唐山市第二醫(yī)院收治并成功隨訪的32例離骨粉碎性骨折患者。其中男性20例,女性12例;平均年齡44.5歲(19”5歲);左側(cè)10例,右側(cè)22例。致傷原因:摔傷10例,道路交通傷15例,高處墜落傷7例。所有患者均采用切開復(fù)位克氏針、張力帶、鋼絲環(huán)扎、可吸收絲線縫合聯(lián)合I古I定技術(shù)治療。結(jié)果32例術(shù)后均獲得隨訪,時間1228個月,平均19.5個月,所有骨折
2、全部骨性愈合。按照B9stman膝關(guān)節(jié)評分標準評定,優(yōu)16例,良12例,差4例;優(yōu)良率87.5%o結(jié)論克氏針、張力帶、鋼絲環(huán)扎、可吸收絲線縫合聯(lián)合固定技術(shù)治療離骨粉碎性骨折,固定牢固,簡單實用,術(shù)后可早期行膝關(guān)節(jié)功能鍛煉,減少術(shù)后并發(fā)癥的發(fā)生,療效滿意。關(guān)鍵詞:離骨骨折;手術(shù);內(nèi)固定;作者簡介:宗雙樂,E-mail:zongshuangle@163.com收稿日期:2016-08-05ClinicalanalysisofcombinedfixationinthetreatmentofcomminutedfractureofpatellaZHEPTCQiu-taoSULi—xinLIANGW
3、ei-dongZHAOXiao-mingLILi-dongCAOXiao-qiangZ0NGShuang-leDepartmentofOrthopaedics,SecondHospitalofTangshan;Abstract:ObjectiveToevaluatetheeffectivenessofcombinedfixation(kirschnerwire,AOtensionband,cerclagewire,absorbablesuture)inthetreatmentofcomminutedfractureofpatella.MethodsAretrospectiveanalysi
4、swasconductedin32paticntswithcomminutcdfractureofpatellawhowereadmittedintoourhospitalfromJun.2010toMay2015.Therewere20malesand12females,withanaverageageof44.5years(range,19to65).Tencaseswereinjuredontheleftside,and22casesontherightside.Tnjurycausesincluded10casesoffal1ing,15casesofroadtrafficinju
5、ry,and7casesofhighfalling.Allpaticntsweretreatedthroughopenreductionandinternalfixationwithkirschnerwire,A0tensionband,cerclagewireandabsorbablesuture.ResultsAllofthe32patientswerefollowedupfrom12monthsto28months(onaverageof19.5months).Al1patientsobtainedgoodfractureunion.TheB9stmanstanderrdshowed
6、excellentin16cases,goodin12casesandpoorin4cases,withanexcellentandgoodrateof87.5%.ConclusionThecombinedfixationofkirschnerwire,AOtensionband,cerclagewireandabsorbablesutureinthetreatmentofpatientswithcomminutedfractureofpatellaisareliablefixationtechnique,whichcanobtainfullkneemotion,reducepostopc
7、rativccomplicationsandhavegoodcurativeeffect.Keyword:patellnrfracture;surgery;internalfixation;Received:2016-08-05離骨骨折是臨床常見的骨折,占全身所有骨折的1%左右,且20?50歲人群居多111,其屮男性發(fā)生率約為女性的兩倍也。離骨是膝關(guān)節(jié)的重要組成部分,由于離骨位置靠前且緊貼皮下,對維持膝關(guān)節(jié)屈伸活動時高效