Bartoníček Jan, Rammelt Stefan
Department of Orthopaedics, First Faculty of Medicine of Charles University and Central Military Hospital Prague, U Vojenske nemocnice 1200, 169 02, Prague 6, Czech Republic.
UniversitätsCentrum für Orthopädie & Unfallchirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Int Orthop. 2015 Nov;39(11):2303-8. doi: 10.1007/s00264-015-2768-9. Epub 2015 Apr 26.
The presented overview shows that the first efforts to address patellar fractures by operative treatment, although sporadic, emerged in the pre-antiseptic era. Introduction of Lister's antiseptic method in Great Britain, Germany and the USA in 1877-1882 contributed to a new, progressive trend in the treatment of fractures of the patella as well as of other bones. The authors, using Lister's antiseptic method, evaluated three basic aspects in their operations, namely healing of the surgical wound without infective complications, achievement of bony union and a good functional outcome, i.e. restoring the range of motion in the knee, even if limited in most cases. The majority of them used a longitudinal incision and fixation by a silver wire.
所呈现的概述表明，通过手术治疗髌骨骨折的首次尝试，尽管较为零散，但在抗菌时代之前就已出现。1877年至1882年，李斯特抗菌法在英国、德国和美国的引入，为髌骨及其他骨骼骨折的治疗带来了一种新的、进步的趋势。作者们采用李斯特抗菌法，在手术中评估了三个基本方面，即手术伤口愈合且无感染并发症、实现骨愈合以及获得良好的功能结果，即在大多数情况下，即使膝关节活动范围有限，也要恢复其活动范围。他们中的大多数人采用纵向切口并用银丝进行固定。
