Siljander Matthew P, Vara Alexander D, Koueiter Denise M, Wiater Brett P, Wiater Patrick J
Orthopedics. 2017 Jul 1;40(4):e739-e743. doi: 10.3928/01477447-20170615-02. Epub 2017 Jun 21.
Patella fracture fixation remains a significant challenge for orthopedic surgeons. Although tension band fixation allows for reliable osseous union, especially in simple fracture patterns, it still presents several problems. Plate fixation of patella fractures is a method that allows for more rigid stabilization and earlier mobilization. At the authors' level 1 trauma center, one fellowship-trained trauma surgeon has transitioned to using a novel anterior, low-profile mesh plate construct for all types of patella fractures. This construct allows for stable fixation, osseous union, and neutralization of the inferior pole for even the most comminuted of patella fractures. [Orthopedics. 2017; 40(4):e739-e743.].
髌骨骨折固定对骨科医生来说仍然是一项重大挑战。尽管张力带固定能实现可靠的骨愈合，尤其是在简单骨折类型中，但它仍存在一些问题。髌骨骨折的钢板固定是一种能实现更坚固稳定和更早活动的方法。在作者所在的一级创伤中心，一位接受过 fellowship 培训的创伤外科医生已转而对所有类型的髌骨骨折使用一种新型的前侧、低轮廓网状钢板结构。这种结构即使对于最粉碎性的髌骨骨折也能实现稳定固定、骨愈合以及下极的中和。[《骨科》。2017 年；40(4):e739 - e743。]
