Treatment of transverse fracture of patella with headless compression screw under arthroscope
10.3969/j.issn.1671-8348.2015.24.011
- VernacularTitle:关节镜辅助下无头加压螺钉固定治疗髌骨横型骨折?
- Author:
Yuanliang DU
;
Tianjie XIAO
;
Cong XU
;
Yongming LV
;
Lijun JIA
;
Kun XU
;
Fei XU
;
Lichao ZHANG
- Publication Type:Journal Article
- Keywords:
arthroscope;
racture;
patella;
headless compression screw
- From:
Chongqing Medicine
2015;(24):3345-3347
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of headless compression Screw (HCS)under arthroscope in the treat-ment of patella fracture.Methods Nineteen patients of patella transverse fractures were selected,all of them were treated with HCS fixation under arthroscope,reviewed and followed-up after surgery.Results X-ray examination after surgery of 3 -5 weeks found that the fracture lines blurred or disappeared,and the patella articular surface was smooth without displacement.The healing time of fracture was 8 weeks on average after operation;There was no statistical difference in the range of the knee joint in the af-fected side in (135.42±5.82)°and the contralateral side in (139.38±6.55)°(P >0.05);The knee Lysholm score of the last follow-up was 86-100 points[(93.7±4.14)points],which was significantly higher than the preoperative score of 65.7 (P <0.05);There was no fracture displacement in the period of followed-up,drop of internal fixator,fracture and other complications.Conclusion HCS fixation under arthroscope in treatment of patella fracture is effective.The joint function recovered quickly with less complica-tion.It could be one of the effective methods for the treatment of patella transverse fracture.
