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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2017-01
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K- wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures:cause analysis and coping strategies

CHEN Xingyu;LIU Xiandong;CAO Wanjun;DU Liang;TANG Chengjie;ZHENG Jinwen;Sichuan Orthopaedic Hospital;The People's Hospital of Guang'an district in Guang'an City;  
Objective: To study the possible causes and coping strategies of K- wire loosening after internal fixation with tension band made of K- wire and steel- wire for treatment of patella fractures. Methods: The X- ray films of 17 patients with patella fractures who developed K- wire loosening after internal fixation with tension band made of K- wire and steel- wire from January 2014 to December 2015 were collected. The needle withdrawal distance,bending- degree of needle tail,distance from needle tip to patellar distal extreme and included angle between K- wire and axis of quadriceps femoris were measured by using infiniti system software,and the relationships between needle withdrawal distance and other 3 parameters were analyzed by using Pearson correlation analysis. Results: The needle withdrawal distance( 10. 02 + /- 5. 56 mm) was negatively correlated( r =- 0. 774,P = 0. 013; r =- 0. 710,P = 0. 007) with the bending- degree of needle tail( 117. 30 + /- 3. 52 degrees) and the included angle between K- wire and axis of quadriceps femoris( 17. 35 + /- 1. 75 degrees),and was positively correlated( r = 0. 550,P = 0. 037) with the distance from needle tip to patellar distal extreme( 11. 17 + /- 0. 81 mm).Conclusion: The possible causes of K- wire loosening after internal fixation with tension band made of K- wire and steel- wire for treatment of patella fractures include small bending- degree of needle tail,small included angle between K- wire and axis of quadriceps femoris and long distance from needle tip to patellar distal extreme,so the bending- degree of needle tail and the included angle between K- wire and axis of quadriceps femoris should be properly increased and the distance from needle tip to patellar distal extreme should be properly controlled in the surgery so as to reduce the possibility of K- wire loosening.
【CateGory Index】: R274.1
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 Xu Hong-zhang,Yu Bin Department of Orthopaedic Traumatics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong Province,China;Construction and analysis of a finite-element model of patella fracture fixed with AO tensile force girdle[J];中国组织工程研究与临床康复;2011-13
2 Li Jian, Yan Deng-lu, Gao Liang-bing, et al.Department of Orthopedics, The Second Municipal People's Hospital, Affiliated to Guangzhou MedicalCollege, Guangzhou 510150, China;The foundational and clinical study on the treatment of patella fracture with tension band wire suture by minimally invasive tension band technique[J];中国临床解剖学杂志;2004-06
【Co-citations】
Chinese Journal Full-text Database 9 Hits
1 MENG Depeng;OUYANG Yueping;HOU Chunlin;Department of Orthopedics, Changzheng Hospital, Second Military Medical University;;A finite element analysis of petal-shaped poly-axial locking plate fixation in treatment of Y-shaped patellar fracture[J];中国修复重建外科杂志;2017-12
2 Gao Shuang-quan;Zhang Yi-geng;Huo Xing-chen;Wang Rui-yang;Guo Jian-guang;North China University of Science and Technology;Tang Shan Gong Ren Hospital;Yutian County Hospital;Yanshan hospital of Qian'an;;Comparison of Two Kinds of Surgical Methods for Treatment of Transverse Patellar Fracture[J];世界最新医学信息文摘;2017-67
3 Lu Junjie;Li Wei;ZhengZhou Orthopaedics Hospital;;Clinical study of 141 cases of patellar fracture treated with different methods[J];河南外科学杂志;2017-03
4 CHEN Xingyu;LIU Xiandong;CAO Wanjun;DU Liang;TANG Chengjie;ZHENG Jinwen;Sichuan Orthopaedic Hospital;The People's Hospital of Guang'an district in Guang'an City;;K- wire loosening after internal fixation with tension band made of K-wire and steel-wire for treatment of patella fractures:cause analysis and coping strategies[J];中医正骨;2017-01
5 ZHANG Jian-hai;ZHAO Qin-peng;Gaoling District Hospital;Xi'an Honghui Hospital;;Analysis on the Curative Effect of Three Different Surgical Methods for the Treatment of Patellar Sleeve Fractures of the Upper Pole[J];中国现代手术学杂志;2016-05
6 XIAO Yi-zeng;YOU Rui-jin;ZHOU Xiao-wen;Depratment of Orthopeadics,The 180th Hospital of PLA;;Patella fracture treated by skin tension belt under arthroscopes[J];创伤外科杂志;2015-05
7 GU Song;LIU Tian-ping;SHEN Zun-li;SHEN Hua;CAI Yan-xian;Department of Plastic, Hand and Aesthetic Surgery, Shanghai First People's Hospital;Institute of Mechanics, China Academy of Sciences;;Biomechanical Analysis of Plate Internal Fixation Treating the Fifth Metacarpal Neck Fracture based on Finite Element Method[J];现代生物医学进展;2015-21
8 QI Xiongfeng;ZHANG Weijun;XIAO Xingming;CHEN Jiaquan;SUN Gengsheng;Department of Orthopedics, Humen Hospital of Traditional Chinese Medicine;Department of Clinical Laboratory, the Fifth People's Hospital of Dongguan City;;Analyse of effect of patellar conformal compression plate combined with compression bolt in treatment of elderly patients with non-comminuted fracture of patella[J];中国医药科学;2015-12
9 Cui Hai-feng;Department of Orthopedics and Trauma, 208 Hospital of Chinese PLA;;Adjustable patella claws and absorbable suture versus Kirschner wire tension band in the repair of comminuted patellar fractures[J];中国组织工程研究;2015-22
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 Liu Gui-qi1,Zhou Yong-gang2 1Department of Orthopedic Surgery,Liaoning Medical University,Jinzhou 121001,Liaoning Province,China;2Fourth Department of Orthopedics,General Hospital of Chinese PLA,Beijing 100853,China;Construction of a pelvic finite element model of Crowe Ⅳ developmental dislocation of the hip[J];中国组织工程研究与临床康复;2010-30
2 Liang Kaiheng1,Ma Xun1,Guan Zhe1,Guo Yuan2,Zhao Yibo1,Chang Qiang1,Niu Jianpeng3,Zhang Hongyi1 (1. Second Affiliated Hospital of Shanxi Medical University,Taiyuan Shanxi 030001;2. Taiyuan University of Technology,Taiyuan Shanxi 030024;3. Taiyuan Central Hospital,Taiyuan Shanxi 030001);Construction and Verification of 3D Nonlinear Finite Element Model of Upper Cervical Vertebrae[J];山西中医学院学报;2009-01
3 Lin Bin,Chen Kun,Zhang Meichao.Department of Orthopaedics, The 175th Hospital of PLA,Zhangzhou,363000;Analysis of Type Ⅱ Odontoid Process Fracture Fixed with Anterior Odontoid Screw on A Finite Element Model[J];中国骨与关节损伤杂志;2008-02
4 Zhang Desheng Song Yueming(Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041,China);The Reconstruction of Three Dimensional Nonlinear Finite Element Model of L_3-L_5 Motion Segment[J];生物医学工程学杂志;2006-06
5 LIU Yao-sheng~(1*),CHEN Qi-xin~(1),LIAO Sheng-hui~(2),TANG Xiao-jun~(1),LI Fang-cai~(1),WU Hao-bo~(1),YU Shi-ce~(3)(1.Department of Orthopedics Surgery,the Second Affiliated Hospital,Zhejiang University,Hangzhou 310009,China;2.State Key Laboratory of CAD and CG,Department of Computer Science and Engineering,Zhejiang University,Hangzhou 310027;3.Structural Engineering Institute,College of Architecture Engineering,Zhejiang University,Hangzhou 310027);Development and validation of a finite element model for lumbar motion segment (L_4-L_5)[J];第二军医大学学报;2006-06
6 LIU Yuan-lu,WANG Jue,LI Bang-chun (Department of Orthopaedics,Chongqing Emergency Medical Center,Chongqing 400014,China);Present research of the biomechanics and treatment of fracture of patella[J];创伤外科杂志;2005-02
7 CHEN Yong-an, LI Sheng-cheng, FANG Xiang, et al. Department of Orthopedic Surgery, The People's Hospital of Shilong, Dongguan City 523321, China;The selection of fixed method for patella fracture and its biomechanical analysis[J];中国临床解剖学杂志;2003-04
8 Li Jian, Xiao Xiangchi, Zhu Wenxiong, et al. Department of Orthopedics, The Second Municipal People's Hospital Affiliated to Guangzhou Medical College, Guangzhou 510150,China;A study on percutaneous internal fixation using tension band for the treatment of patella fracture.[J];中国微创外科杂志;2002-S1
9 XIU Yu-cai, REN Xian-jun.Department of Orthopedic Surgery,the 266th Hospital of PLA,Chengde,067000;The Biomechanical Study of Tension Band with Cancellous Bone Screw for the Treatment of Patella Fracture[J];中国矫形外科杂志;2001-04
10 Zhen Jinan,Tang Nongxuan.Department of Orthopedics,Tangdu Hospital,The Fourth Military Medical University,Xian 710038.;Biomechanical Evaluation of Various Forms of Modified Tension Band Wiring for Transverse Patellar Fracture[J];中国矫形外科杂志;1999-04
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