TREATMENT OF PATELLAR FRACTURES USING Kirschner WITH HOLE AND TENSION BAND SYSTEM WITH WIRE WINDING AND PRESSURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LIChunjiang

First Department of Hand Surgery, Second Hospital of Tangshan, Tangshan Hebei, 063000, P. R. China;

Corresponding?author：

LIChunjiang, Email: 13832885836@163.com

Keywords：

Patellar fracture; Kirschner with hole; Internal fixation; Tension band system; Winding and pressure

DOI：

10.7507/1002-1892.20150314

Video：

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Objective To investigate the effectiveness of internal fixation using Kirschner with hole and tension band system with wire winding and pressure in the treatment of patellar fracture. Methods Between February 2008 and January 2010, 39 patients with patellar fracture were treated using Kirschner with hole and tension band system with wire winding and pressure. The average age was 37 years (range, 18-65 years), including 23 males and 16 females. The left side was involved in 21 cases and the right side in 18 cases. The causes were falling injury in 21 cases, traffic accident injury in 11 cases, and striking injury in 7 cases. The injury to operation time was 5 hours to 6 days (mean, 3.5 days). Twelve cases had open fractures, and 19 cases had comminuted fractures. Results All incisions healed by first intention, and no deep venous thrombosis of lower limbs formed. Thirty-nine patients followed up 12-21 months (mean, 14 months). There was no wire breaking during operation and after operation. X-ray film showed no re-fracture, fracture displacement, or needle displacement; fracture healed well, fracture line disappeared at 6-8 weeks (mean, 7.5 weeks) after operation. After 12 months, the internal fixation was removed; according to the Lysholm knee score standard, the results were excellent in 22 cases, good in 16 cases, fair in 1 case, and the excellent and good rate was 97.4%. Conclusion Internal fixation using Kirschner with hole and tension band system with wire winding and pressure has satisfactory effectiveness for the treatment of patellar fracture, with the following advantages: wire is not easy to break, the needle does not fall off, and the pressure strength is powerful.

Citation： LIChunjiang. TREATMENT OF PATELLAR FRACTURES USING Kirschner WITH HOLE AND TENSION BAND SYSTEM WITH WIRE WINDING AND PRESSURE. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(12): 1466-1468. doi: 10.7507/1002-1892.20150314 Copy

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3.	林瑞新, 董伊隆, 余斌鋒, 等. 帶線錨釘治療急性髕骨下極撕脫性骨折. 中華骨科雜志, 2011, 31(4):331-334.
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8.	李松哲, 李成福, 李林. 改良AO克氏針張力帶鋼絲與聚髕器治療髕骨骨折臨床分析. 中國修復重建外科雜志, 2006, 20(11):1153-1154.
9.	郝海虎, 王江渝. 髕骨環內固定對髕骨骨折的治療分析. 山西醫科大學學報, 2010, 41(2):162-163.
10.	林源, 王進軍, 曲鐵兵. 空心釘及張力帶鋼絲治療髕骨體部橫行骨折. 中華骨科雜志, 2005, 25(1):12-15.
11.	鄭建河, 魏偉明, 林惠華. 自體骨膜游離移植一期修復髕骨骨折及軟骨缺損. 中國修復重建外科雜志, 2000, 14(2):74-76.
12.	明立功, 明新文, 明立德, 等. 自體腱膜條網狀張力帶治療髕骨粉碎性骨折. 中國修復重建外科雜志, 2010, 24(4):498-499.
13.	王洲, 王滿, 張偉, 等. 股四頭肌腱膜條張力帶內固定在髕骨骨折中的應用. 中國修復重建外科雜志, 1998, 12(2):83-84.
14.	王韶峰, 張洪飛, 唐建德, 等. 關節鏡輔助下閉合復位內固定治療髕骨骨折的近期療效. 中國修復重建外科雜志, 2010, 24(1):11-13.
15.	鄭傳祝, 王少龍, 魏修云, 等. 帶針鋼絲張力帶內固定治療髕骨骨折. 中國修復重建外科雜志, 2001, 15(2):18.
16.	張大剛, 李箭. 髕骨骨折的手術治療現狀. 四川醫學, 2008, 29(2):244-246.
17.	吳志坤. 髕骨骨折的手術治療進展. 臨床醫學工程, 2014, 21(3):399-400.
18.	馬寧峰. 髕骨骨折6種治療方法比較. 中國醫藥指南, 2012, 10(23):489-491.

1. S Terry Canale, James H Beaty. 坎貝爾骨科手術學. 11版. 王巖, 主譯. 北京:人民軍醫出版社, 2009:2485.
2. Ba?arir K, Erdemli B, Tuccar E, et al. Safe zone for the descending genicular artery in the midvastus approach to the knee. Clin Orthop Relat Res, 2006, (451):96-100.
3. 林瑞新, 董伊隆, 余斌鋒, 等. 帶線錨釘治療急性髕骨下極撕脫性骨折. 中華骨科雜志, 2011, 31(4):331-334.
4. 劉濤, 殷梅, 鄭繼廣, 等. 可吸收線內固定治療髕骨骨折療效觀察. 中國骨與關節損傷雜志, 2011, 26(4):358-359.
5. 湯濤, 龐清江. 可吸收拉力螺釘加荷包內固定治療髕骨骨折. 中國修復重建外科雜志, 2003, 17(3):222.
6. 湯濤, 龐清江, 張前法, 等. 可吸收螺釘結合絲線環扎加"8"字內固定治療髕骨骨折. 中國修復重建外科雜志, 2010, 24(6):764-766.
7. 張輝, 石浩, 何稚鷗, 等. 鋼絲"8"字加"0"形環扎治療髕骨骨折. 中國骨與關節損傷雜志, 2011, 26(4):361-362.
8. 李松哲, 李成福, 李林. 改良AO克氏針張力帶鋼絲與聚髕器治療髕骨骨折臨床分析. 中國修復重建外科雜志, 2006, 20(11):1153-1154.
9. 郝海虎, 王江渝. 髕骨環內固定對髕骨骨折的治療分析. 山西醫科大學學報, 2010, 41(2):162-163.
10. 林源, 王進軍, 曲鐵兵. 空心釘及張力帶鋼絲治療髕骨體部橫行骨折. 中華骨科雜志, 2005, 25(1):12-15.
11. 鄭建河, 魏偉明, 林惠華. 自體骨膜游離移植一期修復髕骨骨折及軟骨缺損. 中國修復重建外科雜志, 2000, 14(2):74-76.
12. 明立功, 明新文, 明立德, 等. 自體腱膜條網狀張力帶治療髕骨粉碎性骨折. 中國修復重建外科雜志, 2010, 24(4):498-499.
13. 王洲, 王滿, 張偉, 等. 股四頭肌腱膜條張力帶內固定在髕骨骨折中的應用. 中國修復重建外科雜志, 1998, 12(2):83-84.
14. 王韶峰, 張洪飛, 唐建德, 等. 關節鏡輔助下閉合復位內固定治療髕骨骨折的近期療效. 中國修復重建外科雜志, 2010, 24(1):11-13.
15. 鄭傳祝, 王少龍, 魏修云, 等. 帶針鋼絲張力帶內固定治療髕骨骨折. 中國修復重建外科雜志, 2001, 15(2):18.
16. 張大剛, 李箭. 髕骨骨折的手術治療現狀. 四川醫學, 2008, 29(2):244-246.
17. 吳志坤. 髕骨骨折的手術治療進展. 臨床醫學工程, 2014, 21(3):399-400.
18. 馬寧峰. 髕骨骨折6種治療方法比較. 中國醫藥指南, 2012, 10(23):489-491.

Chinese Journal of Reparative and Reconstructive Surgery

TREATMENT OF PATELLAR FRACTURES USING Kirschner WITH HOLE AND TENSION BAND SYSTEM WITH WIRE WINDING AND PRESSURE

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