Compressed comminuted patellar fracture treatment strategy.docVIP

 PAGE \* MERGEFORMAT 10 Compressed comminuted patellar fracture treatment strategy On: Zheng Hongbing, Zhu Yucheng, Yangtai Ming, Li Tao [Abstract] Objective To study the compressibility of comminuted patella fracture treatment strategy. Methods 27 cases of compression, comminuted patellar fracture, subchondral needle application reduction, bone grafting and other methods poking treatment restored the articular surface finishing and the patella in the original form. The results were evaluated according to criteria Merchan, excellent in 16 cases, good in 8 cases, 3 cases, good rate of 88.9%. Conclusions of articular cartilage under the needle, poking the treatment of comminuted bone, compression effective method of patella. [Keywords:] patella fracture, subchondral needle, poking graft With the traffic, the construction industry continues to develop, the growing number of high-energy injury, there is separation of displaced comminuted patella fracture rates have increased, especially compression fractures is increasing. In our hospital from February 2001 to May 2007 were treated 27 cases of such fractures, using a needle under the articular cartilage reduction, bone poking other means, and results were satisfactory, are presented below. 1 Clinical data A total of 27 patients in this group, 18 males and 9 females, aged 17 to 62 years, mean 38 years, 12 cases of left and right in 15 cases. Injury: 8 cases of injury falling from height, hit car dashboard injury 6 cases, 4 cases of running trips, motorcycle injury in 9 cases. this group were fractured, one compression fracture in 7 cases. 2 treatment 2.1 Preoperative preparation is usually taken knee, oblique film, if necessary, add photo tangential position films, CT scanning plus a conditional three-dimensional reconstruction possible, make it more intuitive. Comminuted intra-articular hemorrhage more obvious swelling, the patient conscious pain unbearable, viable sterile aspiration, pressu