Monaco Edoardo, Bruni Giorgio, Daggett Matt, Saithna Adnan, Cardarelli Silvia, Proietti Lorenzo, Ferretti Andrea
Sant'Andrea Hospital, University of Rome La Sapienza, Roma, Italy.
Kansas City University, Kansas City, Missouri, U.S.A.
Arthrosc Tech. 2020 Jun 15;9(6):e783-e789. doi: 10.1016/j.eats.2020.02.010. eCollection 2020 Jun.
Transverse patellar fractures are a relatively common injury and typically require surgical fixation. An adequate restoration of patella integrity is essential for proper functioning of the extensor mechanism of the knee and for the prevention of patellofemoral osteoarthritis. Currently, the treatment of transverse fractures of the patellar bone involves several surgical techniques, most of which involve the use of metallic implants. Despite good clinical results following surgery, numerous complications exist, including primarily symptomatic hardware following surgical treatment. The purpose of this article is to describe the technique for treatment of a transverse patellar fracture using a high-resistance tape (FiberTape; Arthrex) and a tensioner (Arthrex) instead of traditional metallic implants.
横行髌骨骨折是一种相对常见的损伤,通常需要手术固定。髌骨完整性的充分恢复对于膝关节伸肌机制的正常功能以及预防髌股关节炎至关重要。目前,髌骨横行骨折的治疗涉及多种手术技术,其中大多数涉及使用金属植入物。尽管手术后临床效果良好,但仍存在许多并发症,主要包括手术治疗后出现症状的内固定物。本文的目的是描述使用高阻力带(FiberTape;Arthrex)和张紧器(Arthrex)而非传统金属植入物治疗横行髌骨骨折的技术。