髌骨骨折合并股骨髁软骨损伤的治疗

Treatment of patellar fracture accompanied with cartilaginous injury of femoral condyle

目的 探讨髌骨骨折合并股骨髁软骨损伤的治疗方法。方法 分析 8例髌骨粉碎性骨折并股骨髁软骨损伤的临床特点 ,剥离的软骨面采用缝合或非负重区软骨 (带松质骨 )移植。结果 8例患者随访平均 1年 6个月 ,膝关节功能完全恢复者 6例 ;屈曲受限 10°者 1例 ,12°者 1例。未发现并发症。结论 创伤性股骨髁软骨损伤诊断困难 。

Objective To investigate the therapy of patellar fractures with cartilaginous injury of femoral condyle. Methods In 8 cases of patellar fractures with cartilaginous injury of femoral condyle, the clinical features were analyzed, and the denudated cartilage were repaired by direct sutrue or cartilage graft(with cancellous bone)harvested from non weight bearing area. Results All cases were followed up for an average of 18 months. The excellent recovery of knee joint was achieved in 6 cases. The angle of bend of knee joint was reduced 10° in 1 case, and reduced 12° in 1 case. No complications was found. Conclusion It is difficult to diagnose traumatic cartilaginous injury of femoral coudyle, and surgical treatment is the better choice to be considered.