Siljander Matthew, Vara Alexander D, Koueiter Denise M, Gandhi Sapan, Quigley Meghan, Wiater Brett, Wiater Patrick
Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, MI.
J Orthop Trauma. 2017 Aug;31 Suppl 3:S26-S27. doi: 10.1097/BOT.0000000000000908.
Operative management of patella fractures continues to be associated with poor outcomes and high reoperation rates. Traditionally, tension band fixation has been used for more simple fracture patterns; however, fixation remains a challenge particularly for comminuted fractures. More recently, various types of plate fixation have been used and reported in the literature. Earlier mobilization after plate osteosynthesis of patella fractures is possible because of a more robust construct, with the potential for decreased knee stiffness and improved functional outcomes. We present a video case of a 79-year-old man who sustained a displaced patella fracture treated with an anterior mesh plate.
髌骨骨折的手术治疗仍然与较差的治疗效果和高再手术率相关。传统上，张力带固定一直用于更简单的骨折类型；然而，固定仍然是一个挑战，特别是对于粉碎性骨折。最近，文献中报道了各种类型的钢板固定。由于固定结构更稳固，髌骨骨折钢板接骨术后早期活动是可行的，这有可能降低膝关节僵硬程度并改善功能结局。我们展示了一个视频病例，一名79岁男性发生移位性髌骨骨折，采用前路网板进行治疗。
