髌骨袖套状撕脱骨折的治疗  

Treatment of Sleeve Fracture of Patella in Children

作　　者：于泓淼[1] 于泓波[1] 孙雅静[1] 陈洪涛[1] 

机构地区：[1]辽宁省沈阳市骨科医院小儿骨科,110044

出　　处：《中华全科医学》2009年第2期134-135,共2页Chinese Journal of General Practice

摘　　要：目的探讨儿童髌骨袖套骨折的诊断与治疗方法的问题。方法1993年1月-2008年1月共收治17例髌骨下极袖套状撕脱骨折,8例为陈旧性,9例为新鲜骨折。均给予切开复位,股四头肌腱膜缝合术治疗。结果17例均获得随访,随访时间6～18个月,平均13.4个月,均取得满意疗效。结论髌骨袖套骨折远折端多为软骨而骨质太少,故在X线片不易发现,容易漏诊。早期诊断、解剖对位、坚强内固定是降低并发症的关键。Objective To study the diagnosis and treatment of sleeve fracture of patella in children. Methods The clinical data of 17 patients with sleeve fracture of the patella from Jan 1993 to Jan 2008（ 8 cases of old facture ,9 cases of fresh fracture） treated by the tendon suture of the quadriceps were analyzed retrospectively. Results The follow up of 6 to 18 months （ average 13.4 months） showed that all patients recovered very well. Conclusion The fracture of the patellar cuff was easily misdiagnosed because the site of the fracture has more cartilage and less bone and is difficult to be identified by the X-ray film. Early diagnosis and the strong inner fixation with functional paratope are the keys for lowering the complications.

关 键 词：髌骨 袖套状撕脱骨折 环状固定 

分 类 号：R683.422[医药卫生—骨科学]