目的:探讨陈旧性髌骨骨折的最佳治疗方案。方法:我院1997.1～2007.12收治陈旧性髌骨骨折患者20例,均采用术前髌骨牵引、股四头肌锻炼,术中髌前纵形S切口、改良张力带固定骨折块,配合关节腔注射玻璃酸钠,术后早期行患肢CPM机功能锻炼。结果: 所有患者均获得随访,随访时间1.5～3.5年,平均2.2年。患者术后X片髌骨骨折块对位良好、关节面平整。术后切口甲级愈合,下床时间2d～21d,平均6.5d。骨折愈合时间3.0～6.5月,平均4.2月。术后1.5年膝关节HSS功能评分:优8例,良8例,可3例,差1例,优良率80%。结论: 术前牵引、术中正确处理骨折、术后术后早期锻炼等综合治疗陈旧性髌骨骨折疗效显著。
Citation：
LI Jun,ZHANG Jianguo,TANG Dajun. Old Comprehensive Treatment of Patella Fractures Pxperience. West China Medical Journal, 2009, 24(8): 1971-1972. doi:
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- 1. 吴在德,吴肇汉,主编. 外科学(第六版)[M].人民卫生出版社,2003:748.
- 2. 郭庆升编著. 膝关节骨性关节炎诊断及治疗[M].辽宁科学技术出版社(第一版).2006:178-179.
- 3. 史庆轩,赵汉平,李佩佳,等.改良术式综合治疗陈旧性髌骨骨折[J].实用医药杂志,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.
