低轮廓网状钢板治疗髌骨粉碎性移位骨折的疗效
Outcome of low profile mesh plate in management of comminuted displaced fracture patella.
作者信息
Singer Mohamed S, Halawa Abdelsamie M, Adawy Adel
机构信息
Orthopedic Department, Benha University, El-Shaheed Farid Nada street, Benha, Qalyubia 13511, Egypt.
Orthopedic Department, Benha University, El-Shaheed Farid Nada street, Benha, Qalyubia 13511, Egypt.
出版信息
Injury. 2017 Jun;48(6):1229-1235. doi: 10.1016/j.injury.2017.03.026. Epub 2017 Mar 23.
PURPOSE
To assess the clinical results of using mesh plate in management of displaced comminuted fracture patella.
PATIENTS AND METHODS
Between January 2014 and October 2015, nine patients with closed displaced comminuted fracture patella were fixed using mesh plate and 2mm mini screws.
RESULTS
All fractures united after an average of 10 weeks. At final follow-up of an average 19.6 months, average postoperative Lysholm score was 89.1±4.9, and average Postoperative Böstman scale was 27.2±3.1. No hardware related complications were recorded.
CONCLUSION
Low profile mesh plate is a good option in management of comminuted fracture patella with good clinical outcome. This new surgical technique may be particularly useful in comminuted fractures when patellectomy would otherwise be considered.
目的
评估使用网状钢板治疗移位粉碎性髌骨骨折的临床效果。
患者与方法
2014年1月至2015年10月期间，9例闭合性移位粉碎性髌骨骨折患者采用网状钢板及2毫米微型螺钉进行固定。
结果
所有骨折平均在10周后愈合。在平均19.6个月的最终随访中，术后Lysholm评分平均为89.1±4.9，术后Böstman评分平均为27.2±3.1。未记录到与内固定相关的并发症。
结论
薄型网状钢板是治疗粉碎性髌骨骨折的良好选择，临床效果良好。这种新的手术技术在粉碎性骨折中可能特别有用，否则可能会考虑进行髌骨切除术。
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