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[不同手术技术治疗髌骨脱位骨折的比较评估]

[Comparative evaluation of various surgical technics in the treatment of dislocated patellar fractures].

作者信息

Egyed B, Kazár G, Sármai E, Balthazár E

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1975;18(2):111-25.

PMID:237151
Abstract

From the point of view of the different operative methods 137 patellar fractures operated on in the 3 years' material (1969--1971) of the Central Casualty Rehabilitation Institute have been analysed by the authors. 116 fractures could be re-examined 2--4 years after patients were back at work. If the operation was followed by adequate functional management, satisfactory results were found after all operations. When the patients were back at work, further improvement of the results has been observed. In the time the patients got again to work, the results of partial patellectomy seemed better,--however, after 2--4 years osteosynthesis yielded better final results. Traction loop proved more effective than cerclage. If possible, conservation and exact unionof the patella is of great importance in both juveniles and manual workers. Early functional treatment improves the late results of the operation.

摘要

从不同手术方法的角度出发,作者分析了中央伤亡康复研究所三年(1969 - 1971年)资料中137例接受手术治疗的髌骨骨折病例。116例骨折患者在恢复工作2至4年后接受了复查。如果术后进行了充分的功能管理,所有手术均取得了满意的效果。当患者恢复工作时,结果有进一步改善。在患者重新工作时,部分髌骨切除术的效果似乎更好,然而,2至4年后,骨接合术产生了更好的最终结果。牵引环被证明比环扎术更有效。如果可能,保留髌骨并使其精确愈合对青少年和体力劳动者都非常重要。早期功能治疗可改善手术的后期效果。

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