临床论著·可吸收张力带和金属张力带治疗尺骨鹰嘴.PDF

中国骨伤 2000 年 12 月第 13 卷第 12 期 　China J Ort hop Trauma ,December 2000 ,Vol . 13 ,No . 12 ·707 · ·临床论著 · 可吸收张力带和金属张力带治疗尺骨鹰嘴 骨折疗效比较 陈爱民　侯春林 　苟三怀 (第二军医大学长征医院骨科 ,上海 200003) ( ) ( 【摘要】　目的　比较生物可吸收张力带 Biofix 棒和 Biopoly 人工韧带 与金属张力带 克氏针和钢 ) 丝 治疗尺骨鹰嘴骨折的疗效 。方法 　采用两种张力带治疗 35 例尺骨鹰嘴骨折 。其中 ,可吸收组 18 例 ;金属张力带组 17 例 。随访时间 8～37 月 ,平均 24 月 。根据术后 X 线片和关节功能恢复情况评定疗 效 。结果 　平均骨折愈合时间为 7 周 。可吸收张力带治疗组 :优 16 例 , 良2 例 ,差 0 例 ;金属张力带治 疗组 :优 14 例 , 良2 例 ,差 1 例 。两种治疗方法临床效果无统计学差别 。结论 　生物可吸收张力带象金 属张力带一样是治疗尺骨鹰嘴骨折较理想的有效方法之一 ,并具有无需二期手术取出内固定物的优点 。 【关键词】　尺骨骨折 　骨折固定术 　生物相容性材料 Comparison Study of Biodegradable and Metallic Tension Band f or the Treatment of Olecranon Fractures CH EN A im in , H O U Chunlin , GO U S anhuai . Changz heng Hosp ital , The 2 n d M ilitary M edical Univer ( ) sity S hang hai , 200003 【Abstract 】　Objective 　To comp are t he result s of treat ment for olecranon fractures fixed by ( 1) biodegradable tention band fixation (B TB) wit h Biofix rods and Biopoly ligament s and (2) metallic tension band (M TB) wit h Kirschner wire and metallic cerclage wire . Methods 　35 cases of fractures were treated ( 18 wit h B TB and 17 wit h M TB) . The mean p eriod of followup was 24 (837) mont hs. The result s were evaluated by radiograp hy and recovery of joint function . Results 　Bone union occurred after a mean p eriod of 7 weeks. For t he cases treated wit h B TB , 16 cases had excellent result s , 2 good , 0 poor . For t he cases treated wit h M TB ,14 cases had excellent result s ,2 good ,1 poor . There were no significant statistic differences between t he two met hods. Conclusion 　B TB is believed to be a good simple met hod for t he treat ment of olecranon fractures wit hout t he necessity of a second op era