Muzaffar Nasir, Ahmad Nawaz, Ahmad Aejaz, Ahmad Nissar
Department of Orthopaedics, Hospital for Bone and JointSurgery, Barzalla, Srinagar, Kashmir, India.
Trop Doct. 2012 Jan;42(1):25-7. doi: 10.1258/td.2011.110326.
We report six cases of minimally displaced two-part patellar fractures with skin injury over the patella that were treated with percutaneous K wire fixation and compression applied using stainless steel (SS) wire. This technique makes it possible to perform early operative treatment in cases where unhealthy skin is not amenable to conventional tension band wiring. The technique employs two K wires inserted through the two fracture fragments under local or regional anaesthesia. They are then compressed using simple SS wire knots at the two ends - making it look like noodles at the end of two chopsticks. The fixation is subsequently augmented with a cylindrical plaster-of-Paris cast. The technique is simple, cheap and does not cause soft tissue injury.
我们报告了6例髌骨两部分轻微移位骨折且髌骨表面有皮肤损伤的病例，这些病例采用经皮克氏针固定并用不锈钢丝进行加压治疗。对于皮肤状况不佳不适合传统张力带钢丝固定的病例，该技术使得早期手术治疗成为可能。该技术是在局部或区域麻醉下，通过两个骨折碎片插入两根克氏针。然后在两端用简单的不锈钢丝结进行加压，使其看起来像两根筷子末端的面条。随后用圆柱形熟石膏绷带加强固定。该技术简单、便宜且不会造成软组织损伤。
