罕见的开放性髌骨矢状面骨折合并膝关节骨折的治疗：三例系列报道
Management of Rare Open Patella Sagittal Plane Fracture with Associated Knee Joint Fractures: A Series of Three Cases.
作者信息
Gandhi Takshay, Patel Nimish, Dave Rutvik
机构信息
Department of Orthopaedics, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India.
Department of Orthopaedics, Dr. M.K. Shah Medical College and Research Centre, Ahmedabad, Gujarat, India.
出版信息
J Orthop Case Rep. 2023 May;13(5):29-33. doi: 10.13107/jocr.2023.v13.i05.3634.
INTRODUCTION
Open vertical patella fractures in combination with distal femoral or proximal tibial fractures are a rare combination of injuries that pose a challenge for adequate fixation and gaining favorable outcome.
CASE REPORT
Case 1 had an open fracture of sagittal fracture of patella with one half comminuted and a sagittal plane fracture of lateral femoral condyle with a 2 × 2 cm of articular bone loss. Case 2 had an open sagittal fracture of patella with ipsilateral lateral femoral condyle fracture and proximal tibia medial condyle fracture in sagittal plane. Case 3 had a closed comminuted fracture of patella with sagittal plane lateral femoral condyle fracture.
CONCLUSION
Open vertical plane patella fractures with associated distal femoral or proximal tibial fracture when treated properly can restore knee function optimally.
引言
开放性垂直髌骨骨折合并股骨远端或胫骨近端骨折是一种罕见的损伤组合，对充分固定和获得良好疗效构成挑战。
病例报告
病例1为髌骨矢状骨折开放性骨折，其中一半粉碎，股骨外侧髁矢状面骨折，关节面骨质缺损2×2厘米。病例2为髌骨开放性矢状骨折，同侧股骨外侧髁骨折和胫骨近端内侧髁矢状面骨折。病例3为髌骨闭合性粉碎性骨折合并股骨外侧髁矢状面骨折。
结论
开放性垂直平面髌骨骨折合并股骨远端或胫骨近端骨折，经适当治疗可最佳地恢复膝关节功能。
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