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学科主题临床医学
Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures
Tian, Yun; Zhou, Fang; Ji, Hongquan; Zhang, Zhishan; Guo, Yan
刊名CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
2011-12-01
DOI10.1007/s11999-011-1913-z
469期:12页:3429-3435
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Surgery
研究领域[WOS]Orthopedics ; Surgery
关键词[WOS]FIXATION ; WIRE
英文摘要

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.

语种英语
WOS记录号WOS:000296733400023
引用统计
被引频次:24[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66845
专题北京大学第三临床医学院_骨科
北京大学第一临床医学院_输血科
作者单位Peking Univ, Hosp 3, Dept Orthopaed, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Tian, Yun,Zhou, Fang,Ji, Hongquan,et al. Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH,2011,469(12):3429-3435.
APA Tian, Yun,Zhou, Fang,Ji, Hongquan,Zhang, Zhishan,&Guo, Yan.(2011).Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures.CLINICAL ORTHOPAEDICS AND RELATED RESEARCH,469(12),3429-3435.
MLA Tian, Yun,et al."Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures".CLINICAL ORTHOPAEDICS AND RELATED RESEARCH 469.12(2011):3429-3435.
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