Department of Orthopedic Surgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University Hospital, Busan, Korea.
Department of Diagnostic Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Orthop Traumatol Surg Res. 2021 May;107(3):102866. doi: 10.1016/j.otsr.2021.102866. Epub 2021 Mar 4.
Comminuted inferior sleeve avulsion fractures of the patella is a surgical challenge owing to the lack of directly purchasable bone fragments and the vulnerable patellar tendon below the displaced lip fragments. Despite the reports of various techniques to treat this fracture, still there is need for a new surgical technique to improve the reduction construct. The purpose of this article is to introduce Hammock plating, which is a surgical technique for comminuted inferior sleeve avulsion patella fractures that utilizes synthetic suture and a low-profile mini plate. The reduction construct provides an indirect reduction of the inferior sleeve fragments to form a hammock-like construct that embraces and lifts the lip fragments upward altogether that enables a firm bone-to-bone union. The advantages also include relatively simple and easy procedure with less injury to the fractured bone fragments and patellar tendon.
髌骨下极撕脱粉碎性骨折因缺乏可直接购买的骨块和移位的唇状骨块下方脆弱的髌腱而成为一项手术挑战。尽管有各种技术来治疗这种骨折的报道，但仍需要一种新的手术技术来改善复位结构。本文旨在介绍吊索钢板固定术，这是一种治疗髌骨下极撕脱粉碎性骨折的手术技术，它利用合成缝线和低轮廓迷你钢板。该复位结构提供了对下极撕脱骨块的间接复位，形成一个类似吊索的结构，将唇状骨块向上一起抬起，从而实现牢固的骨对骨愈合。其优点还包括相对简单、容易的手术过程，对骨折骨块和髌腱的损伤较小。
