Braun W, Wiedemann M, Rüter A, Kundel K, Kolbinger S
Department of Traumatology and Reconstructive Surgery, Central Hospital, Augsburg, Germany.
Clin Orthop Relat Res. 1993 Apr(289):197-201.
It is uncontested that most patellar fractures have to be treated by open reduction and internal fixation. Nevertheless, there are well-defined types of patellar fractures in which such a procedure is unnecessary because the fracture is stable and the retropatellar surface is congruous. In these fractures internal fixation would constitute overtreatment; conservative treatment yields good results in such cases. In this report, 40 patellar fractures treated conservatively were reviewed (average, 30.5 months after injury). Results were assessed subjectively and objectively. Of the 40 patients, 80% were pain free and 90% had a full range of knee motion.
多数髌骨骨折必须通过切开复位内固定治疗，这一点并无争议。然而，存在一些明确类型的髌骨骨折，由于骨折稳定且髌骨关节面平整，无需进行此类手术。在这些骨折中，内固定属于过度治疗；在此类情况下保守治疗可取得良好效果。在本报告中，回顾了40例接受保守治疗的髌骨骨折患者（平均伤后30.5个月）。从主观和客观两方面对结果进行了评估。40例患者中，80%无疼痛，90%膝关节活动范围正常。
