手术治疗髌骨骨折的体会（附104例分析）

Experiences in Surgical Treating Fracture or Patella A Clincal Report of 104 cases

本文随访１０４例髌骨骨折术后病人，就其各种术式进行疗效评估，认为张力带及改良张力带组优良率最高占９４．３％，部分摘除术次之约占８８．２％，最差是全髌摘除和丝线荷包组。文中讨论了张力带及改良张力带内固定术的适应症和优点，主张即使是年老之髌骨粉碎性骨折患者也不应施行全髌摘除而改良张力带内固定，文中介绍了二种改良张力带术式；另还就“台阶”问题进行讨论，认为复位不理想是影响疗效的主要因素。

A Clinical reseach to evaluate the surgical methods in treating 104 cases of patients with fracture of patella was conducted. The results showed that effective rate of the group of tension-band(TB) and modified tension band (MTB) was 94. 3% and the group of partial patellectomy was 88.2%. The method of completed patellectomy and purse-string suture were less effective. From these results we discussed the indication and advantage of TB and MTB, and concluded that even old patients with comminuted fracture of patella should fixed with MTB instead of completed patellectomy. Two kinds of MTB method are described. Reduction is a important factor of treatment