记忆合金髌骨爪与改良张力带治疗髌骨骨折的效果对比.pdf

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1、·临床研究·中国当代医药2014年4月第21卷第．10期记忆合金髌骨爪与改良张力带治疗髌骨骨折的效果对比兰海峰冯建忠吴冬冬赵自平广州医学院荔湾医院骨科，广州510170【摘要】目的比较记忆合金髌骨爪与改良张力带治疗髌骨骨折的效果。方法选取本院2008年1月～2013年1月收治的50例髌骨骨折患者，其中35例采用记忆合金髌骨爪治疗，15例采用改良张力带治疗，比较两组的平均手术时间、关节功能、术后并发症发生率及治疗费用。结果50例均获得随访，随访时间为6～12个月；髌骨爪组的平均手术时间短于张力带组，治疗费用高于张力带组，

2、术后并发症发生率低于张力带组，差异有统计学意义(P<0．05)：两组的优良率比较，差异无统计学意义(P>O．05)。结论对于髌骨骨折治疗，记忆合金髌骨爪具有固定牢靠、手术时间短、并发症少等优点，而改良张力带具有疗效可靠、医疗费用低的优点，临床应综合考虑选取合适方法。【关键词1髌骨骨折；记忆合金髌骨爪；改良张力带【中图分类号】R681．8【文献标识码】A【文章编号】1674—4721(2014)04(a)一0024—03Theefectscontrastofmemoryalloypatellaclawandmodifie

3、dtensionbandinthetreatmentofpatellarfractureLANHai-fengFENGJian-zhongWUDong-dongZHA0Zi-pingDepartmentofOrthopedics，LiwanHospitalofGuangzhouMedicalCollege，Guangzhou510170，China[Abstract】ObjectiveTocomparethecurativeeffectsofpatellaclawandmodifiedtensionbandinthet

4、reatmentofpatellarfracture．Methods50casesofpatellarfracturesfromJanuary2008toJanuary2013inourhospitalwerese—lected，35casesinpatellaclawgroupweretreatedwithmemoryalloypatellaclaw，whiletheother15casesintensionbandgroupweretreatedwithmodifiedtensionband．Theoperatio

5、ntime,jointfunction，postoperativerelatedcomplicationandtreatmentcostintwogroupswascomparedrespectively．ResultsAll50caseswerefollowedupfor6to12months．Theoperationtimeofpatellaclawgroupwasshorterthanthatoftensionbandgroup，treatmentcostofpatellaclawgroupwashigherth

6、anthatoftensionbandgroup，postoperativerelatedcomplicationofpatellaclawgroupwaslowerthanthatoftensionbandgroup，withstatisticaldifference(P<0．05)．Theexcellentandgoodrateintwogroupswascom—pared，withnostatisticaldifference(P>0．05)．ConclusionForthetreatmentofpatellar

7、fracture，thememoryalloypatellaclawhastheadvantagesoffirmfixation，shorteroperationtimeandfewercomplication，whilethemodifiedtensionbandhastheadvantagesofreliablecurativeeffect，lowmedicalcost．ItshouldbeconsideredintegratedSOastoselecttheap—propriatemethodinclinic．【

8、Keywords】Patellarfracture；Memoryalloypatellaclaw；Modifiedtensionband髌骨骨折是膝部常见的骨折，约占全身骨折的髌骨骨折患者，男25例，女25例；年龄16—90岁，平1％．可见于任何年龄，主要发生于青壮年。髌骨骨折均57．9岁；均为新鲜闭合性骨折．受伤原因主要为跌属于