髌骨骨折前正中切口入路的临床初步应用

Clinical application of anterior median incision in patella fracture

目的了解髌骨骨折前正中入路的临床应用。方法通过21例髌骨骨折采用前正中入路手术,比较手术操作,术后锻炼,功能恢复等,初步评价其优缺点。结果前正中入路视野暴露好,操作方便,手术时间缩短。21例患者术后第3天即可行膝关节锻炼,无刀口裂开,瘢痕小,无伸屈功能受限,恢复满意,优良率为95.2%。结论前正中入路损伤小,固定满意,早期锻炼安全,功能恢复快,是一个比较理想的入路,值得推荐。

Objective To investigate the clinical significance of the anterior median incision in the treatment of patella frac- ture. Methods Twenty-one patients with patella fracture underwent the anterior median approach to the knee. The advantages of the operation were evaluated by operative procedure, postoperative training, functional recovery and so on. Results Good operative field, convenient management and short operation time were the main merits during the operative procedure. Postoperative train- ing of knee joint started on the 3rd postoperative day in all patients. There was no wound disruption. The fine rate of treatment was 95.2%. Conclusion The main advantages of this approach include less damage, satisfactory fixation, safety of early training, and fast functional recovery, which deserves to be introduced in clinical application.