Clinical experience of patellar fracture fixation using metal wire or non-absorbable polyester - a study of 37 cases
Clinical experience of patellar fracture fixation using metal wire or non-absorbable polyester - a study of 37 cases
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DOI：
10.1016/s0020-1383(00)00170-4
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发表时间：
2001-03-01
影响因子：
2.5
通讯作者：
Field, RE
中科院分区：
文献类型：
--
作者：
Gosal, HS;Singh, P;Field, RE
本文报告了使用金属丝和不可吸收聚酯（5号粘合剂）固定髌骨骨折的结果。第1组（21例）采用标准的不锈钢丝AO技术。第2组16例，采用5号粘接剂。两组的术后管理相似，在物理治疗师的监督下，允许患者在舒适的情况下活动。随访所有患者，直至骨折愈合或进行进一步手术干预。在平均2年6个月（范围1-4年），我们审查了所有37例病例的笔记和X线片。第2组中没有感染病例，但第1组中有3例术后感染病例。第1组的再手术率为6/21（38%），第2组为1/6（6%）。因此，金属组再次手术的相对风险是不可吸收聚酯组的6倍。金属组的感染风险也更高。这些对髌骨骨折手术治疗相关的患者发病率有影响。不可吸收聚酯似乎优于使用金属丝固定髌骨骨折。(C)2001爱思唯尔科技有限公司版权所有。
The results of patellar fracture fixation using metal wire and non-absorbable polyester (5 Ethibond) are presented. In group 1 (21 cases), the standard 'AO' technique using stainless steel wire was used. and in group 2 (16 cases) we used 5 Ethibond, Patients were assigned to the two groups on surgeon preference. Post-operative management in the two groups was similar, with patients being allowed to mobilise as comfort allowed, under the supervision of the physiotherapists. All patients were followed-up until union of the fractures or until further surgical intervention was carried out. At a mean of 2 years and 6 months (range 1-4 years), we reviewed the notes and X-rays of all 37 cases. In group 2 there were no cases of infection but there were three cases of post-operative infections in group 1. Re-operation rate was 6/21 (38%) in group 1 and 1/6 (6%) in group 2. Therefore, the relative risk of re-operation in the metal group is six times that in the non-absorbable polyester group. The risk of infection in the metal group is also higher. These have implication on patient morbidity associated with the operative treatment of patellar fractures. Non-absorbable polyester appears to compare favourably with the use of metallic wire to fix patellar fractures. (C) 2001 Elsevier Science Ltd. All rights reserved.