Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (22): 4070-4075.doi: 10.3969/j.issn.2095-4344.2013.22.012

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Medical titanium cable in the treatment of comminuted patellar fractures

Xu Hai-dong, Chen Yong, Zhao Jian-ning   

  1. Department of Orthopedics, Nanjing General Hospital of Nanjing Military Area Command, Nanjing  210002, Jiangsu Province, China
  • Online:2013-05-28 Published:2013-05-28
  • Contact: Zhao Jian-ning, Professor, Doctoral supervisor, Department of Orthopedics, Nanjing General Hospital of Nanjing Military Area Command, Nanjing 210002, Jiangsu Province, China zhaojianning0207@163.com
  • About author:Xu Hai-dong★, Master, Attending physician, Lecturer, Department of Orthopedics, Nanjing General Hospital of Nanjing Military Area Command, Nanjing 210002, Jiangsu Province, China Xuhaidong1980@163.com

Abstract:

BACKGROUND: Medical titanium cable is easy and simple to handle with strong internal fixation and it can protect the knee function.
OBJECTIVE: To study the curative effect of medical titanium cable in the treatment of comminuted patellar fractures.
METHODS: Thirty patients with comminuted patellar fractures were divided into two groups according to their wishes: medical titanium cable group and routine steel wire cerclageg pierced group. The fixation time, amount of blood loss, the first knee exercise time after operation, hospitalization time, medical expenses, complications and long-term knee function of the patients in two groups were compared.
RESULTS AND CONCLUSION: All patients were followed-up for more than 1 year. The first knee exercise time after operation of the patients in the medical titanium cable group was earlier than that in the routine steel wire cerclage pierced group, and the hospitalization time was shorter, but the medical expenses and long-term knee function Bostman score in the medical titanium cable group was higher than those in  the routine steel wire cerclage pierced group (P < 0.05). The medical titanium cable material can cure comminuted patella fractures with strong internal fixation. The medical titanium cable has advantages of earlier knee exercise time and fewer complications compared with routine steel wire cerclage pierced group. It is considered as the better choice for the treatment of comminuted patella fractures.

Key words:  bone and joint implants, orthopedic implants, patellar fracture, comminuted fracture, internal fixation, medical titanium cable, wire cerclage, complications, long-term knee function, clinical efficacy, medical expenses, biomaterial

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