目的:探討陳舊性髕骨骨折的最佳治療方案。方法:我院1997.1～2007.12收治陳舊性髕骨骨折患者20例,均采用術前髕骨牽引、股四頭肌鍛煉,術中髕前縱形S切口、改良張力帶固定骨折塊,配合關節腔注射玻璃酸鈉,術后早期行患肢CPM機功能鍛煉。結果: 所有患者均獲得隨訪,隨訪時間1.5～3.5年,平均2.2年。患者術后X片髕骨骨折塊對位良好、關節面平整。術后切口甲級愈合,下床時間2d～21d,平均6.5d。骨折愈合時間3.0～6.5月,平均4.2月。術后1.5年膝關節HSS功能評分:優8例,良8例,可3例,差1例,優良率80%。結論: 術前牽引、術中正確處理骨折、術后術后早期鍛煉等綜合治療陳舊性髕骨骨折療效顯著。
Citation：
LI Jun,ZHANG Jianguo,TANG Dajun. Old Comprehensive Treatment of Patella Fractures Pxperience. West China Medical Journal, 2009, 24(8): 1971-1972. doi:
Copy
Copyright ? the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
吳在德,吳肇漢,主編. 外科學(第六版)[M].人民衛生出版社,2003:748.
|
| 2. |
郭慶升編著. 膝關節骨性關節炎診斷及治療[M].遼寧科學技術出版社(第一版).2006:178-179.
|
| 3. |
史慶軒,趙漢平,李佩佳,等.改良術式綜合治療陳舊性髕骨骨折[J].實用醫藥雜志,2007,24(10):11641165.
|
| 4. |
TURGUT A, GUNAL I, ACAR S, et al. Arthroscopicassisted percutaneous stabilization of patellar fractures[J]. Clin Orthop Rela Res,2001,389:57-61.
|
| 5. |
AMIS AA. Current concepts on anatomy and biomechanics of patellar stability[J].Sports Med Arthrose, 2007,15:48-56.
|
| 6. |
WARD SR, TERK MR, POWERS CM. Patella Alta: Association with Patellofemoral Alignment and Changes in Contact Area During WeightBearing[J].J Bone Joint Surg(AM),2007,89:1749-1755.
|
- 1. 吳在德,吳肇漢,主編. 外科學(第六版)[M].人民衛生出版社,2003:748.
- 2. 郭慶升編著. 膝關節骨性關節炎診斷及治療[M].遼寧科學技術出版社(第一版).2006:178-179.
- 3. 史慶軒,趙漢平,李佩佳,等.改良術式綜合治療陳舊性髕骨骨折[J].實用醫藥雜志,2007,24(10):11641165.
- 4. TURGUT A, GUNAL I, ACAR S, et al. Arthroscopicassisted percutaneous stabilization of patellar fractures[J]. Clin Orthop Rela Res,2001,389:57-61.
- 5. AMIS AA. Current concepts on anatomy and biomechanics of patellar stability[J].Sports Med Arthrose, 2007,15:48-56.
- 6. WARD SR, TERK MR, POWERS CM. Patella Alta: Association with Patellofemoral Alignment and Changes in Contact Area During WeightBearing[J].J Bone Joint Surg(AM),2007,89:1749-1755.
