新鲜髌骨骨折手术方法探讨(附30例报告)

Comparative Study of Different Operations Adopted in the Treatment of Freah Patellar Fractue (A Report of 30 Cases)

本文报告30例新鲜髌骨骨折,分别行保留髌骨、髌骨部分切除和髌骨全切除术。平均随访3年6个月,以保留髌骨环形缝合术宁效景佳。文章还讨论分析了髌骨关节面出现前后错位的原因。

Different operations have been adopted in the treatment of fresh patellar fractures, including circumferential suturing with preservation of patella, partial patellar resection, and total patellar resection Opinions vary among the surgeons in the selection of operation. Different operations were undertaken in the operation treatment for 30 cases of fresh patellar fraceures.These patieats were followed up to an average of 31/2 years Evaluatioa of different operations was discussed on the basis of blomechanics. It was found that satisfactory rate of circumferential suturing was 72.2%, those of partial and total patellar resection were 57.1% and 20% respectively.Authors of the article would consider ring suture as the operation of choice in surgical treatmeat of fresh patellar fractures. Causes of anterior-posterlor displacement of articular surface of fractured patellar is also discussed.