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[髌骨骨折的外科治疗进展]

[Progress in the surgical treatment of the patellar fracture].

作者信息

Li Guanglei, Liu Ping

机构信息

Department of Orthopedics, Liyuan Hospital Affiliated to Tongji Medical School of Huazhong University of Science and Technology, Wuhan Hubei, 430077, P.R.China.

Physical Examination Center, Liyuan Hospital Affiliated to Tongji Medical School of Huazhong University of Science and Technology, Wuhan Hubei, 430077, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Aug 15;35(8):1057-1062. doi: 10.7507/1002-1892.202104068.

Abstract

OBJECTIVE

To review research progress of surgical treatment of patellar fractures.

METHODS

The domestic and foreign literature about patellar fracture treatment in recent years was extensively consulted, and the advantages, disadvantages, and indications of various surgical treatments were summarized.

RESULTS

The patella plays an important role in knee flexion and extension activities, and the fracture significantly affects the patient's quality of life. At present, the surgical methods include open reduction and internal fixation and patella resection. The internal fixation methods include ring/binding patella fixation, tension band wiring and improved technology, tension band wiring combined with other methods, screw fixation (including absorbable screws), steel plate fixation, and patella fixator fixation. Each surgical method has different indications, advantages, and disadvantages. Choosing an appropriate treatment plan plays a crucial role in clinical prognosis.

CONCLUSION

There are many surgical treatments for patellar fractures. In order to improve the effectiveness and reduce postoperative complications, it is necessary to choose the most appropriate treatment strategy for the type of fracture.

摘要

目的

回顾髌骨骨折手术治疗的研究进展。

方法

广泛查阅近年来国内外有关髌骨骨折治疗的文献,总结各种手术治疗方法的优缺点及适应证。

结果

髌骨在膝关节屈伸活动中起重要作用,骨折明显影响患者生活质量。目前手术方法包括切开复位内固定及髌骨切除术。内固定方法有环形/捆绑式髌骨固定、张力带钢丝及改良技术、张力带钢丝联合其他方法、螺钉固定(包括可吸收螺钉)、钢板固定及髌骨固定器固定。每种手术方法有不同的适应证、优点和缺点。选择合适的治疗方案对临床预后起关键作用。

结论

髌骨骨折有多种手术治疗方法。为提高疗效并减少术后并发症,针对骨折类型选择最合适的治疗策略很有必要。

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本文引用的文献

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J Am Acad Orthop Surg. 2021 Mar 15;29(6):244-253. doi: 10.5435/JAAOS-D-20-00591.
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