记忆合金聚髌器及聚酯纤维线治疗髌骨下极粉碎性骨折合并髌韧带损伤

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1、记忆豳觀戦骨斤IZTIII三I2018-03-2910:29:58中国现代医生2018年6期龙智生陈钢龚飞鹏李宇旭肖裕华［摘要］戸的探讨记忆合金聚恢器及聚酯纤维线治疗恢骨下极粉碎性骨折合并恢韧带损伤的疗效。方法选取2008年5月〜2017年6月43例離骨下极粉碎性骨折合并靛韧带损伤患者，采用记忆合金聚離器及聚酯纤维线治疗，术后通过关节功能评分及术后X线片对其疗效进行评定。结果本组患者切口均I期愈合。住院期间复查X线片见熊骨恢复正常长度，骨折固定牢靠。术后随访时间12〜36周，平均24周,随访率88%,复查X线示骨折愈合良好，備骨位置良好，骨折愈合时间3〜6个月，平均4个月。随

2、访期间未出现关节感染、内固定松动及断裂，懺骨未出现脱位。术后膝关节100。〜135。，平均125。。所有患者膝关节功能采用胥少汀综合评定方法评定，本组优32例，艮6例,可5例，优良率88%O结论记忆合金聚離器及聚酯纤维线的联合治疗懺骨下极粉碎性骨折合并離韧带损伤疗效确切，早期的功能训练能够明显改善膝关节的功能。［关键词］離骨下极骨折；離韧带损伤；聚離器；聚酯纤维线［中图分类号］R687.3［文献标识码］B［文章编号］1673-9701(2018)06-0060-03［Abstract］ObjectiveToinvestigatetheclinicaleffectiveness

3、ofthetreatmentofcomminutedfracturesoftheinferiorpolesofthepatellaaccompaniedbypatellartendoninjuriesusingmemoryalloypatellarconcentratorsandpolyestersutures・Methods43patientsofcomminutedfracturesoftheinferiorpolesofthepatellaaccompaniedbypatellartendoninjuriesinourhospitalfromMay2008toJune2

4、017weretreatedwithmemoryalloypatellarconcentratorsandpolyestersutures.TheclinicaleffectivenesswasassessedbyjointfunctionalscoreandX-rayaftertheoperation.ResultsThe1phrasewoundhealingratewas100%.ThenormallengthofpatellaandthegoodfixationofthefracturewerefoundwhenreviewedbyusingX-rayduringhos

5、pitalstay.Thefollow-uptimeafteroperationrangedfrom12to36weeks,averaged24weeks.Therateoffollowingupwas88%.Fractureshealedwellandthepositionofpatellawasgood・Thehealingtimeoffracturerangedfrom3to6months,averaged4months.Therewerenojointinfections,internalfixationlooseningandbreakageorpatellardi

6、slocationfound.Theflexionangleofpatellaafteroperationrangedfrom100to135degree,averaged125degree・ThepatellarfunctionofallthepatientswasassessedbyusingXuShaotingcomprehensiveassessmentmethod・32patientswereassessedasexcellent,6asgoodand5asfair.Thesuperiorratewas88%・ConclusionThetreatmentofcomm

7、inutedfracturesoftheinferiorpolesofthepatellaaccompaniedbypatellartendoninjuriesusingmemoryalloypatellarconcentratorsandpolyestersutureswascurative・Functiontrainingintheearlystagewouldimprovethepatellarfunction.［Keywords］Fracturesoftheinferiorpolesofthep