Andrews J R, Hughston J C
South Med J. 1977 Jul;70(7):809-13, 817. doi: 10.1097/00007611-197707000-00014.
Results of treating 238 transverse, longitudinal, and osteochondral fractures of the patella are reviewed. Of these, 89 patients had partial patellectomy and extensor mechanism reconstruction. After an average follow-up of four years, functional results have been excellent; there have been no late patellectomies and traumatic arthritis has not developed. Total patellectomy is recommended only when the entire patella is so severely comminuted that none of it can be used as part of the extensor mechanism of the knee.
回顾了238例髌骨横行、纵行和骨软骨骨折的治疗结果。其中，89例患者接受了部分髌骨切除术和伸膝装置重建术。平均随访四年后，功能结果极佳；未出现晚期髌骨切除术，也未发生创伤性关节炎。仅当整个髌骨严重粉碎以至于无法用作膝关节伸膝装置的一部分时，才建议行全髌骨切除术。
