Anand Ashish, Kumar Manish, Kodikal Gautam
Centre for Joint Replacement, Wockhardt Hospitals, Bangalore-560 076, India.
Indian J Orthop. 2010 Jul;44(3):333-5. doi: 10.4103/0019-5413.65149.
The traditional recommendation for displaced comminuted inferior pole fractures is excision of the comminuted pole followed by reattachment of the patellar tendon with transosseous suture. To the best of our knowledge there has been no previous published study mentioning the use of suture anchors for fracture inferior pole of patella. We present a retrospective analysis of five cases of patients doing well at final follow-up of two years.
Five patients treated at our institute using suture anchors for repair of comminuted inferior pole fractures of patella between January 2007 to March 2007. (range 28 years-55 years). There were three males and two females.
The average follow-up was 25 months (range 24 months-26 months). The patients were evaluated for range of motion, strength, patellofemoral scores and any alteration of patellar height. The outcome of the procedure was assessed with use of the patellofemoral scoring system of Noyes et al,5 as adapted by Saltzman et al.6 The final patellofemoral score (maximum 100 points) was 94.6 (range 93-96).
We believe it is a novel extended indication of the use of suture anchors and should be in the armament of every trauma surgeon.
对于移位的粉碎性髌骨下极骨折，传统的治疗方法是切除粉碎的极部，然后用经骨缝线重新附着髌腱。据我们所知，此前尚无发表的研究提及使用缝线锚钉治疗髌骨下极骨折。我们对5例患者进行了回顾性分析，这些患者在两年的最终随访中情况良好。
2007年1月至2007年3月期间，我们研究所使用缝线锚钉治疗了5例髌骨粉碎性下极骨折患者（年龄范围28岁至55岁）。其中男性3例，女性2例。
平均随访时间为25个月（范围24个月至26个月）。对患者的活动范围、力量、髌股关节评分以及髌骨高度的任何变化进行了评估。采用Saltzman等人改编的Noyes等人的髌股关节评分系统对手术结果进行评估。最终的髌股关节评分（满分100分）为94.6分（范围93至96分）。
我们认为这是缝线锚钉使用的一种新的扩展适应症，应成为每位创伤外科医生的治疗手段。
