Zhao Quan-Ming, Gu Xiao-Feng, Cheng Li, Feng De-Hong
Department of Orthopedic Surgery, Wuxi People's Hospital, Nanjing Medical University, Wuxi City, China.
Adv Clin Exp Med. 2017 Jul;26(4):615-619. doi: 10.17219/acem/62692.
Patellar fractures account for approximately 1% of all fractures. Due to the patella's importance as regards the extensor mechanism, effort should be made to preserve the patella. Several operative treatment methods have been introduced for patella fractures.
This study aims to compare the clinical effect of a titanium cable tension band and nickeltitanium (NiTi) patella concentrator (NT-PC) in treating patella fractures.
Thirty-nine patients with patella fractures were enrolled in this retrospective study. All the patients were treated via the open reduction internal fixation procedure using a titanium cable tension band or NT-PC. All the patients were followed up over an average period of 13 months. The main outcome measures were operation time, time of fracture union, postoperative complications, and Böstman knee scores. Statistical analyses were conducted between the 2 groups.
All the patients were operated on successfully. The operation time of the NT-PC treatment group was less than that of the titanium cable tension band treatment group (p < 0.05). The mean scores at the final follow-up were 28.2 and 27.6 points in the titanium cable tension band and NT-PC groups, respectively. No significant difference was observed between the excellent and good results (p > 0.05).
Both titanium cable tension band and NT-PC showed good efficacy for the treatment of patellar fractures. NT-PC fixation, a new option for the treatment of patella fractures, is a simple and effective fixation method.
髌骨骨折约占所有骨折的1%。由于髌骨在伸肌机制中具有重要作用，应努力保留髌骨。目前已引入多种治疗髌骨骨折的手术方法。
本研究旨在比较钛缆张力带与镍钛聚髌器（NT-PC）治疗髌骨骨折的临床效果。
本回顾性研究纳入39例髌骨骨折患者。所有患者均采用钛缆张力带或NT-PC行切开复位内固定术治疗。所有患者平均随访13个月。主要观察指标为手术时间、骨折愈合时间、术后并发症及Böstman膝关节评分。对两组进行统计学分析。
所有患者手术均成功。NT-PC治疗组的手术时间短于钛缆张力带治疗组（p<0.05）。钛缆张力带组和NT-PC组末次随访时的平均评分分别为28.2分和27.6分。优良结果之间无显著差异（p>0.05）。
钛缆张力带和NT-PC治疗髌骨骨折均显示出良好疗效。NT-PC固定术作为治疗髌骨骨折的一种新选择，是一种简单有效的固定方法。
