直切口细克氏针加改良张力带治疗髌骨粉碎性骨折65例

摘要

Objective To study the curalive effect on comminuted palella fracture using vertical incision by internal fixation of fine Kirchner wires plus improved Lensile band with steel wires. Methods 65 cases of comminuled palella fraclure using vertical incision were trealed by inlernal fixalion of fine kirchner wires plus modified lensile band wilh steel wires, followed by the observation of posloperalive lime of fraclure union, smoothness digree of joint surface on X - rays and restoration of knee joint function. Results The average lime of fraclure union was 85. 5 days, and smoolhness digree of joinl surface on X - rays was fine. The excellent rale of joint function accounted for 93. 8%. Conclusions It is an effective method in the treatment of comminuled palella fraclure because of its wide indications, minimal invasion, firm fixalion and satisfactory results.%目的 探讨直切口细克氏针加改良张力带治疗髌骨粉碎性骨折的疗效.方法 采用直切口细克氏针加改良张力带治疗65例髌骨粉碎性骨折患者.术后观察骨折愈合时间、X线片关节面平整程度、膝关节功能恢复情况.结果 骨折愈合时间平均为85.5 d,X线片示关节面平整度良好,术后关节功能优良率93.8 %.结论 该术式手术适应证较广、创伤小、固定牢固、疗效确切,是治疗髌骨粉碎性骨折的有效方法.