Operative Orthopadie und Traumatologie · 2009
[Patella fracture].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dietz Sven-Oliver, Hessmann Martin-Henri, Gercek Erol, Rommens Pol-Maria
Аннотация
OBJECTIVE: Reconstruction of the extensor apparatus of the knee joint. Open reduction and stable internal fixation of patella fractures. Exact reconstruction of the articular surface of the patellofemoral joint.
INDICATIONS: Open and closed fractures. Fractures with an intraarticular incongruity (> 2 mm). Incapability of extension of the knee also in nondisplaced fractures of the patella. In the context of internal fixations of additional periarticular fractures of the knee joint.
CONTRAINDICATIONS: Compromised general health status or associated injuries. Compromised local soft-tissue situation (contamination, poor soft-tissue cover). Relative: nondisplaced transverse fractures (no displacement in 40 degrees of flexion). Relative: nondisplaced longitudinal fractures(3). Relative: nondisplaced radiating fractures(3). Relative: nondisplaced fractures of the distal pole without involvement of the joint surface and intact extensor apparatus(3).
SURGICAL TECHNIQUE: Longitudinal parapatellar incision. Tension band wiring. Lag screw osteosynthesis. Combination of tension band wiring and lag screws. Patellectomy (partial/complete).
POSTOPERATIVE MANAGEMENT: Thrombosis prophylaxis. Early physiotherapy. Knee brace.
RESULTS: 70% good to excellent results. 30% chronic pain and posttraumatic arthritis. Loss of motion (limited extension).
INDICATIONS: Open and closed fractures. Fractures with an intraarticular incongruity (> 2 mm). Incapability of extension of the knee also in nondisplaced fractures of the patella. In the context of internal fixations of additional periarticular fractures of the knee joint.
CONTRAINDICATIONS: Compromised general health status or associated injuries. Compromised local soft-tissue situation (contamination, poor soft-tissue cover). Relative: nondisplaced transverse fractures (no displacement in 40 degrees of flexion). Relative: nondisplaced longitudinal fractures(3). Relative: nondisplaced radiating fractures(3). Relative: nondisplaced fractures of the distal pole without involvement of the joint surface and intact extensor apparatus(3).
SURGICAL TECHNIQUE: Longitudinal parapatellar incision. Tension band wiring. Lag screw osteosynthesis. Combination of tension band wiring and lag screws. Patellectomy (partial/complete).
POSTOPERATIVE MANAGEMENT: Thrombosis prophylaxis. Early physiotherapy. Knee brace.
RESULTS: 70% good to excellent results. 30% chronic pain and posttraumatic arthritis. Loss of motion (limited extension).