| 摘要: |
| ［摘要］ 目的 探讨膝关节镜下经皮复位并用可吸收螺钉内固定治疗髌骨骨折的方法和疗效。方法 对22例髌骨骨折患者，采用膝关节镜下经皮复位可吸收螺钉内固定术治疗。结果 所有病例术后膝关节功能良好，根据胥少汀评分法，优18例(81.8%)，良4例(18.2%)。结论 膝关节镜下经皮复位可吸收螺钉内固定术治疗髌骨骨折，创伤小、恢复快、复位确切，能同时探查和处理膝关节其他损伤。可吸收螺钉作为内固定材料无需二次手术取出，但筛选手术病人非常重要。 |
| 关键词: 膝关节镜 可吸收螺钉 髌骨骨折 |
| DOI：10.3969/j.issn.1674-3806.2013.09.18 |
| 分类号:R 683 |
| 基金项目: |
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| Arthroscopic treatment of the patella fractures with absorbable screw fixation through closed reduction |
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TIAN Peng,YANG Lei,JIA Shao-long, et al.
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Second Department of Orthopaedics,the Kuitun Hospital of Kazakh Autonomous Prefecture, Xinjiang 833200, China
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| Abstract: |
| ［Abstract］ Objective To investigate the effect of closed reduction and percutaneous screw fixation on the patella fractures by the knee arthroscopy.Methods Twenty-two cases of the patella fractures were treated with absorbable screw through closed reduction and percutaneous screw fixation by the knee arthroscopy. Their clinical data were further analyzed.Results All cases obtained bony union and good functional recovery. According to Xu Shaoting score, excellent effectiveness was found in 18 cases（81.8%）and good in 4 cases（18.2%）.Conclusion The knee arthroscopic management of the patella fractures not only facilitated accurate reduction but also provied a chance to inspect other knee injuries and diseases. And the technique of closed reduction and percutaneous internal fixation can also make for early postoperative exercises and accelerate recovery. In addition, the second operation suffering may be avoided because of the absorbable screw being used for internal fixation. However, suitable patients should be considered for this therapeutic approach. |
| Key words: Knee arthroscopy Absorbable screw Patella fracture |
