目的：对临床常用的髌骨骨折内外固定方法的疗效及手术依从性进行分析，证实抓髌器外固定的临床优势。方法将我院2007年1月～2012年12月间手术治疗的128例髌骨骨折患者随机分为2组，每组研究对象64例。一组使用抓髌器外固定，为观察组；一组使用克氏针张力内固定，为对照组；治疗后对两组研究对象的骨折愈合、并发症、关节功能、患者满意率等临床数据进行比较及统计学分析。结果观察组62例、对照组58例骨折愈合良好，观察组愈合优良率（96.9％）高于对照组（90.6％），且具有显著差异性（ P＜0.05）；在感染发生率及关节功能的比较中，观察组均优于对照组，且具有显著差异性（ P ＜0.05）；观察组患者满意率为98.4％，均优于对照组，且具有显著差异性（ P＜0.05）。结论抓髌器外固定在髌骨骨折治疗中的疗效及依从性较克氏针张力内固定具有显著优势，尤其在髌骨粉碎性骨折中优势更加明显，适于临床推广使用。%Objective To analyze the efficacy and compliance of internal fixation and external fixation in the treatment of patellar fracture and to verify the clinical advantage of external fixation for patellar fracture .Meth-ods A total of 128 cases of patellar fracture who received operation from Sep .2011 to Sep.2012 were randomly di-vided into 2 groups (64 cases per group).Patients who received external fixation with patellar device were taken as observation group ,and patients who received internal fixation with Kirschner wire were taken as control group .Frac-ture healing,complications,joint function and satisfaction rates were compared and statistically analyzed .Results Good fracture healing was observed in 62 cases in the observation group ,and 58 cases in the control group .The ex-cellent and good rate of fracture healing was 96.9%in the observation group ,while 90.6%in the control group ,with significant difference(P<0.05);the infection rate was lower and joint function was better in the observation group than the control group , with significant difference ( P<0.05 ); the satisfaction rate of observation group was also higher in the observation group (98.4%),which also has significant difference (P<0.05).Conclusion The pa-tellar external fixation in the treatment of patella fractures can get better efficacy and compliance compared with Kir -schner wire internal fixation ,especially for patients with patellar comminuted fracture .Patellar external fixation is worth widely applying in clinical practice .
展开▼
