CAJ | 학술논문

10例儿童髌骨骨折,其中4例横行骨折行张力带钢丝内固定,5例袖形骨折行缝合修复,1例粉碎性骨折行手法复位管形石膏外固定.随访3个月～1年,9例患儿的患膝伸0°(=)屈90～100°,1例粉碎性患膝达伸0°(=)屈90°范围.儿童髌骨骨折中袖形骨折容易误诊,临床上需同髌韧带撕裂伤进行鉴别.手术指征取决于骨折呈开放或闭合性以及骨折程度.髌骨骨折属关节内骨折,治疗需达到解剖复位,应力求及时、准确的于术治疗,以避免膝关节功能障碍的发生.
10례인동빈골골절,기중4례횡행골절행장력대강사내고정,5례수형골절행봉합수복,1례분쇄성골절행수법복위관형석고외고정.수방3개월～1년,9례환인적환슬신0°(=)굴90～100°,1례분쇄성환슬체신0°(=)굴90°범위.인동빈골골절중수형골절용역오진,림상상수동빈인대시렬상진행감별.수술지정취결우골절정개방혹폐합성이급골절정도.빈골골절속관절내골절,치료수체도해부복위,응력구급시、준학적우술치료,이피면슬관절공능장애적발생.
The children with patellar fracture were treated.Among them 4 with transverse fracture were treated by internal fixation with tension-bad wire,5 with sleeve shape fracture were repaired by suturing and 1 smashed fracture was reduced manually and fixed in plaster cast.All the 10 cases were followed up 3 to 12 months,9 of them showed that the extensionflexsion of the injuried knees ranged between 0°(=)90°-100°,the other smashed fracture between 0°(=)90°.The sleeve shape fracture is liable to be misdiagnosed and should be differentiated from the ligament tearing.The operation for patellar fracture,same as in children and in adult,depends on the extensivehess and opening of the fracture.If the fracture is intraarticular,it should be reduced anatomically by operation as earlier as posible in order to avoid the function lost of the knee joint.