Early complications in the operative treatment of patella fractures
Early complications in the operative treatment of patella fractures
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DOI：
10.1097/00005131-199704000-00008
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发表时间：
1997-04-01
影响因子：
2.3
通讯作者：
Moed, BR
中科院分区：
文献类型：
--
作者：
Smith, ST;Cramer, KE;Moed, BR
目的：为了确定和审查髌骨fractures.Design手术治疗的早期并发症：回顾性review.Setting：单一三级医疗机构与多个外科医生，包括通才和奖学金训练有素的subspecialists.Patients：一个连续系列的八十七髌骨骨折超过五年的时间进行了审查。非手术治疗或部分或全髌骨切除术的患者被排除在外。在51例骨折中，骨折愈合的最低随访时间（4个月）可用。干预措施：改良的张力带钢丝固定被用于在ferry-nine骨折，而两个骨折与张力带钢丝螺纹通过空心screens.Outcome措施：早期并发症，如减少或固定损失，感染，或软组织问题进行了evaluated.Results：位移大于或等于2毫米愈合前注意到在11骨折。移位可归因于5例病例中的技术错误，另外5例病例中的患者不遵守术后活动限制。记录了2例浅表感染。9例患者有症状的硬件需要硬件remove.Conclusions：22%的骨折治疗张力带钢丝和早期运动移位大于或等于2毫米在术后早期。技术错误或患者不依从被确定为因素。手术治疗髌骨骨折的早期并发症的发生率高于以前的报道。
Objective: To identify and review early complications in the operative treatment of patella fractures.Design: Retrospective review.Setting: Single tertiary care institution with multiple surgeons, including generalists and fellowship trained subspecialists.Patients: A consecutive series of eighty-seven patella fractures over a five year period was reviewed. Patients treated nonoperatively or with partial or total patellectomy were excluded. Minimum follow-up to fracture healing (four months) was available in fifty-one fractures. Intervention: Modified tension band wire fixation was used in ferry-nine fractures, whereas two fractures were treated with tension band wires threaded through cannulated screws.Outcome Measures: Early complications such as loss of reduction or fixation, infection, or soft-tissue problems were evaluated.Results: Displacement of greater than or equal to 2 mm before healing was noted in eleven fractures. The displacement could be attributed to technical errors in five cases, and to patient noncompliance with postoperative activity restrictions in another five cases. Two cases of superficial infection were documented. Nine patients with-symptomatic hardware required hardware removal.Conclusions: Twenty-two percent of fractures treated with tension band wiring and early motion displaced greater than or equal to 2 mm within the early postoperative period. Technical errors or patient noncompliance were identified as factors. The incidence of early complications in operatively treated patella fractures is higher than previously reported.