Labitzke R
Arch Orthop Unfallchir. 1977 Nov 21;90(1):77-87. doi: 10.1007/BF00415895.
The tensions caused by means of flexors and tensors on the intact and by various procedures operated fractured patella have been determined. The disadvantages of the cerclage and the eccentric ventral tension band, both of them mainly usual, are exposed. Interfragmentary measurements of pression power in a corpse knee as well as breaking tests with a model patella and first experiences by operation with a new method confirm the reflexions. Principles for a modus of osteosynthesis for fractures of the patella are realized by the lateral tension-band. All loading inclined fragment distractive powers thereby are taken up by production a high-level interfragmentary compression, so that immediate postoperative loading is possible.
已确定完整状态下通过屈肌和张肌以及对髌骨骨折进行各种手术操作所产生的张力。文中揭示了环扎术和偏心腹侧张力带（这两种方法均较为常用）的缺点。对尸体膝关节进行的碎片间压力测量以及使用髌骨模型进行的断裂试验，还有采用新方法进行手术的初步经验均证实了这些思考。通过外侧张力带实现了髌骨骨折的接骨术方式原则。由此，所有加载倾斜碎片的牵张力量都通过产生高水平的碎片间压缩来承受，从而使得术后立即加载成为可能。
