Ritte T, Frangen T M, Muhr G, Kälicke T
Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Deutschland.
Unfallchirurg. 2008 Jul;111(7):548-52. doi: 10.1007/s00113-007-1371-y.
The rare combination of a lateral tibial head fracture and an avulsion fracture of the tibial tuberosity requires treatment that differs from the therapy of the single occurrence of each of these injuries. Especially postsurgical treatment is not yet standardized. We report about the history of disease in a patient who had a work-related accident in which he suffered trauma during passive knee flexion in combination with an active extension of the quadriceps femoris muscle. We performed a multimodal osteosynthesis followed by postsurgical treatment which is different from the postoperative treatment for the individual injuries: immobilization of the knee joint with a thigh splint for 6 weeks, isometric physical therapy, and prohibition of movement in the knee for 4 weeks. This therapy appears to be an effective and successful approach for this combination of injuries, where no standardized treatment has been established yet.
胫骨近端外侧骨折与胫骨结节撕脱骨折的罕见组合需要的治疗方法不同于这两种损伤单独出现时的治疗方法。尤其是术后治疗尚未标准化。我们报告了一名患者的病史，该患者发生了一起与工作相关的事故，在被动屈膝并主动伸展股四头肌时受到创伤。我们进行了多模式骨固定术，随后进行的术后治疗不同于针对单个损伤的术后治疗：用大腿夹板固定膝关节6周，进行等长物理治疗，并在4周内禁止膝关节活动。对于这种尚未确立标准化治疗方法的损伤组合，这种治疗方法似乎是一种有效且成功的方法。
