目的 观察克氏针钢丝张力带及镍钛聚髌器治疗不同类型髌骨骨折的疗效, 探讨两种手术方式的临床适应证及治疗优点。方法 选取2011年3月—2013年12月,成都中医药大学附属医院骨科住院部45例髌骨骨折患者,术后通过Lyshoml膝关节评分等标准,对患者康复情况进行评估,并对数据加以分析, 比较两种治疗方法的临床效果。结果 两种治疗方法在治疗效果上无差异, 观察后分析:髌骨横形骨折可选克氏针钢丝张力带治疗; 粉碎性骨折采用镍钛聚髌器疗效满意。结论 两种髌骨骨折内固定方法临床疗效相似,但镍钛聚髌器兼有复位良好,固定稳定,操作简便等优点,对于粉碎性髌骨骨折更为适用。

Objective To observe the curative effect of Kirschner wire tension band and Ni Ti patellar concentrator in the treatment of different types of patellar fracture,study the clinical indications on and therapeutic advantages of this two kinds of operation methods. Methods By selecting 45 cases of patellar fracture patients hospitalized in the department of orthopedics,the affiliated hospital of Chengdu university of TCM from 2011-03 to 2013-12.To assess the patients rehabilitation by Lyshoml knee score (standard) after operation and analysis the data,compare the clinical effects of this two methods. Results There is no significant differences between this two methods. After observation and analysis:transverse fracture of patella can be treated with kirschner wire and tension band and Comminuted fracture treated with Ni Ti patellar concentrator will be better. Conclusion This two kinds of operation methods have a similar curative effect in the Clinical reatment of patella fracture, but the Ni Ti patellar concentrator has a good function of reduction, stable fixed and easy to operation,Particularly suitable for Comminuted fracture of patellar.