CAJ | 학술논문

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。
목적탐토슬관절경하경피복위병용가흡수라정내고정치료빈골골절적방법화료효。방법대22례빈골골절환자，채용슬관절경하경피복위가흡수라정내고정술치료。결과소유병례술후슬관절공능량호，근거서소정평분법，우18례（81.8％），량4례（18.2％）。결론슬관절경하경피복위가흡수라정내고정술치료빈골골절，창상소、회복쾌、복위학절，능동시탐사화처리슬관절기타손상。가흡수라정작위내고정재료무수이차수술취출，단사선수술병인비상중요。
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 ab-sorbable 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 Shaot-ing 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 .