Posner Andrew D, Hutchinson Ian, Zimmerman Joseph
Division of Orthopaedics, Albany Medical Center, Albany, New York, U.S.A.
Arthrosc Tech. 2021 May 4;10(6):e1447-e1453. doi: 10.1016/j.eats.2021.02.008. eCollection 2021 Jun.
Transverse patella fractures with loss of knee extensor mechanism function are a common orthopaedic injury requiring operative fixation. Current accepted surgical options for noncomminuted transverse fractures include open reduction with tension band wiring. Although these procedures result in good clinical outcomes and fracture healing, symptomatic hardware from the historically used metal implants is very common. The purpose of this Technical Note is to describe a technique for treatment of transverse patellar fractures using cannulated compression screws with tensioned high-resistance suture tape functioning as the tension band. This technique provides effective, reproducible fracture fixation while minimizing symptomatic hardware, failure, and reoperation.
伴有膝关节伸肌机制功能丧失的横行髌骨骨折是一种常见的骨科损伤，需要手术固定。目前公认的非粉碎性横行骨折的手术选择包括切开复位张力带钢丝固定术。尽管这些手术能带来良好的临床效果和骨折愈合，但以往使用的金属植入物所带来的硬件相关症状却很常见。本技术说明的目的是描述一种使用空心加压螺钉和张紧的高阻力缝合带作为张力带治疗横行髌骨骨折的技术。该技术能提供有效、可重复的骨折固定，同时将硬件相关症状、失败和再次手术的情况降至最低。
