Poutoglidou Freideriki, Krkovic Matija
Addenbrookes Major Trauma Unit, Department of Trauma and Orthopaedics, Cambridge University Hospitals NHS Trust, Cambridge, GBR.
Cureus. 2022 Apr 28;14(4):e24546. doi: 10.7759/cureus.24546. eCollection 2022 Apr.
The use of the tension band technique for patellar fracture fixation has been associated with a loss of the rigidity of the construct after cyclic loading. Biomechanical studies have shown the biomechanical superiority of the crossed pin configuration relative to the traditional parallel one. Here, we describe a modified tension band technique that involves the use of crossed pins and a figure-of-eight passed as close to the bone as possible through a lateral parapatellar approach. The basic surgical technique and our case series are reviewed.
采用张力带技术治疗髌骨骨折固定时，在循环加载后会出现结构刚度丧失的情况。生物力学研究表明，交叉克氏针构型相对于传统平行构型具有生物力学优势。在此，我们描述一种改良的张力带技术，该技术采用交叉克氏针，并通过髌旁外侧入路尽可能贴近骨面穿过“8”字钢丝。本文回顾了基本手术技术及我们的病例系列。
