Bulaïd Yassine, Fabre Maxime, Parratte Sébastien, Argenson Jean-Noël, Ollivier Matthieu
Caportho, Centre de Chirurgie Orthopédique et Sportive, Béthune, France.
Clinique Anne d'Artois, Béthune, France.
Arthrosc Tech. 2020 Dec 19;10(1):e61-e65. doi: 10.1016/j.eats.2020.09.013. eCollection 2021 Jan.
Patellar lower-pole fractures occur in relatively young patients after eccentric contraction of the quadriceps or direct trauma. Early diagnosis and adequate treatment lead to excellent outcomes and prevent tendon retraction and scarring. The aim of surgical treatment is to restore articular congruence and reestablish the extensor mechanism of the knee. All surgical treatments (sutures and tension band wiring, separate vertical wiring or augmented with Krackow sutures, wiring through screws, basket plate, hook plate) use additional hardware. We propose a hardware-free technique using ipsilateral hamstring augmentation.
髌骨下极骨折发生于相对年轻的患者，多因股四头肌离心收缩或直接创伤所致。早期诊断和恰当治疗可带来良好预后，并防止肌腱回缩和瘢痕形成。手术治疗的目的是恢复关节面的一致性并重建膝关节的伸肌机制。所有手术治疗方法（缝线和张力带钢丝固定、单独垂直钢丝固定或加用Krackow缝线、经螺钉钢丝固定、篮状钢板、钩状钢板）均需使用额外的硬件。我们提出一种使用同侧腘绳肌增强的无硬件技术。
