Ma Y Z, Zhang Y F, Qu K F, Yeh Y C
Clin Orthop Relat Res. 1984 Dec(191):235-41.
One hundred seven patients with fractures of the patella were treated by percutaneous suture. The method has the advantage of being simple and relatively nontraumatic. The reduction and the functional recovery were generally excellent. The reduction was poor in five cases, three of which had open reduction and internal fixation. After the percutaneous suture with steel wire is in place, the wire provides sufficient strength for internal fixation. The quadriceps expansion needs no repair. Neither open reduction nor percutaneous suture with cerclage solves the problem of the tendency of the fracture fragments to gap anteriorly. Percutaneous suture without Kirschner-wire internal fixation, with the principle of tension-band wiring, is adequate.
107例髌骨骨折患者接受了经皮缝合治疗。该方法具有操作简单、创伤相对较小的优点。复位及功能恢复总体良好。5例复位效果不佳，其中3例行切开复位内固定。钢丝经皮缝合到位后，钢丝可为内固定提供足够的强度。股四头肌扩张部无需修复。切开复位和带环扎的经皮缝合均不能解决骨折碎片向前分离的趋势问题。不使用克氏针内固定、基于张力带钢丝固定原则的经皮缝合就足够了。
