目的:探讨带线锚钉治疗急性创伤性髌骨脱位后髌骨内侧缘撕脱骨折伴内侧髌股韧带损伤的疗效。方法:自2003年9月至2008年7月共收治28例急性髌骨脱位后髌骨内侧缘撕脱骨折伴内侧髌股韧带损伤患者。对28例患者均采用开放手术下带线锚钉固定髌骨骨折及修复内侧髌股韧带损伤。术后1年进行术后的髌骨骨折Levack功能评分。结果:所有患者术后随访时间12~30个月,平均(16±3.50)个月。术后1年的髌骨骨折Levack功能评分标准优23例,可3例,差2例,优秀率达82.14%。无再次髌骨脱位或伴脱位患者。结论:开放手术下带线锚钉治疗对髌骨骨折固定及内侧髌股韧带修复可靠,是治疗急性创伤性髌骨脱位后髌骨内侧缘撕脱骨折伴内侧髌股韧带损伤的有效方法。
Citation：
LI Guangming,HAN Yijie,FU Weili,et al.. The Efficacy Analysis of Treatment of Medial Avulsion Fraction and Patellofemoral Ligament Injury of Patella Following Acute Traumatic Patellar Dislocation with Anchor. West China Medical Journal, 2009, 24(10): 2528-2530. doi:
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- 2. 蔡晓冰,佟大可,纪方,等.CablePin系统选择性治疗髌骨骨折的疗效分析[J].中国矫形外科杂志,2009,17(6):411-413.
- 3. 陆迁仁.骨科康复学[M].北京.人民卫生出版社,2007:185.
- 4. 王欣,俞光荣.急性创伤性髌骨脱位的漏诊误诊分析[J].同济大学学报(医学版),2005,26(1):88-90.
- 5. 沈婕,刘继生,祁吉.急性髌骨脱位中内侧支持带复合体的损伤:MA表现及其外科意义[J].国外医学临床放射学分册,1998,(3):158-160.
- 6. KOSE K C, KURU I, MARALCAN G, et al. Comparison of a technique using a new percutaneous osteosynthesis device with conventional open surgery for displaced patella fractures[J]. J Orthop Trauma,2007,21(1):77-78.
- 7. GALLA M, LOBENHOFFER P. Patella fractures[J]. Chirurg,2005,76(10):987-997.
- 8. STURDEE S W, TEMPLETON P A, OXBORROW N J. Internal fixation of a patella fracture using an absorbable suture[J]. J Orthop Trauma,2002,16(4):272-273.
- 9. TORITSUKA Y, HORIBE S, HIROOKA A, et al. Medial marginal fracture of the patella following patellar dislocation[J]. Knee,2007,14(6):429-433.
