Cannulated screw and cable are superior to modified tension band in the treatment of transverse patella fractures.
Cannulated screw and cable are superior to modified tension band in the treatment of transverse patella fractures.
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DOI：
10.1007/s11999-011-1913-z
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发表时间：
2011-12
影响因子：
4.2
通讯作者：
Guo, Yan
中科院分区：
文献类型：
--
作者：
Tian, Yun;Zhou, Fang;Ji, Hongquan;Zhang, Zhishan;Guo, Yan
虽然改良张力带技术（如张力带加纵向克氏针）长期以来一直是髌骨横向骨折固定的主要方法，但它存在复位不良、植入物松动、皮肤刺激等缺点。我们对改良张力带技术和钛缆空心螺钉张力带技术进行回顾性比较。我们回顾性分析了101例年龄22 - 85岁（平均56.6岁）AO/OTA 34-C1骨折（n = 68）和34-C2骨折（n = 33）的患者。改良张力带组52例，钛缆空心螺钉张力带组49例。随访至少1年（范围1 - 3年）。比较标准为骨折复位、骨折愈合时间和膝关节功能的爱荷华评分。与改良张力带组相比，钛缆空心螺钉张力带组骨折复位改善，愈合时间缩短，爱荷华评分更高。改良张力带组有8例患者钢丝移位，其中3例需要第二次手术。钛缆空心螺钉张力带组无并发症发生。钛缆空心螺钉张力带技术具有良好的效果，可作为治疗横向髌骨骨折的替代方法。III级，治疗性研究。有关证据水平的完整描述，请参见作者指南。
Although the modified tension band technique (eg, tension band supplemented by longitudinal Kirschner wires) has long been the mainstay for fixation of transverse fractures of the patella, it has shortcomings, such as bad reduction, loosening of implants, and skin irritation. We conducted a retrospective comparison of the modified tension band technique and the titanium cable-cannulated screw tension band technique. We retrospectively reviewed 101 patients aged 22 to 85 years (mean, 56.6 years) with AO/OTA 34-C1 fractures (n = 68) and 34-C2 fractures (n = 33). Fifty-two patients were in the modified tension band group and 49 were in the titanium cable-cannulated screw tension band group. Followup was at least 1 year (range, 1–3 years). Comparison criteria were fracture reduction, fracture healing time, and the Iowa score for knee function. The titanium cable-cannulated screw tension band group showed improved fracture reduction, reduced healing time, and better Iowa score, compared with the modified tension band group. In the modified tension band group, eight patients experienced wire migration, three of these requiring a second operation. There were no complications in the titanium cable-cannulated screw tension band group. The titanium cable-cannulated screw tension band technique showed superior results and should be considered as an alternative method for treatment of transverse patellar fractures. Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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影响因子：
2.3
作者：
Berg, EE
通讯作者：
Berg, EE
DOI：
10.2106/00004623-198971040-00016
发表时间：
1989-04-01
影响因子：
5.3
作者：
MERCHANT, TC;DIETZ, FR
通讯作者：
DIETZ, FR
DOI：
10.1016/s0020-1383(01)00173-5
发表时间：
2002-07-01
影响因子：
2.5
作者：
Fortis, AP;Milis, Z;Boudouris, T
通讯作者：
Boudouris, T
影响因子：
2.3
作者：
Smith, ST;Cramer, KE;Moed, BR
通讯作者：
Moed, BR
DOI：
10.1016/s0020-1383(00)00170-4
发表时间：
2001-03-01
影响因子：
2.5
作者：
Gosal, HS;Singh, P;Field, RE
通讯作者：
Field, RE