Kirschner combined patella treated 32 cases of comminuted fracture of patella.docVIP

 PAGE \* MERGEFORMAT 5 Kirschner combined patella treated 32 cases of comminuted fracture of patella [Abstract] Objective: To investigate the K-wire combined treatment of patella fracture patella results. Methods: The K-wire combined patella treated 32 cases of patella fracture, with an average age of 45 years, after the first 3d passive knee flexion exercises. Results: The average time of 45min; postoperative X-ray confirmed the fracture, especially anatomical reduction of articular surface; 14d around the knee flexion to 100 ° or more; fractures healed, with an average healing time was 3 months; no infections, implant failure in and joint stiffness and other complications occurred. Conclusion: The Kirschner combined treatment of patellar fracture patella complete anatomical reduction of articular surface, and can obtain stable fixation, early joint function in patients able to exercise a high rate of fracture healing. [Keywords:] Kirschner comminuted fracture of patella patella joint clinical observation I reset using Kirschner wire and the maintenance of articular surface of the anatomical location, and then use memory alloy patella firmly secured to the fracture, the treatment of comminuted patellar fracture 32 cases with satisfactory clinical results are summarized below. A clinical data 1.1 General Information 32 cases were from our hospital in January 2002 ~ June 2007 orthopedic patients, 19 males and 13 females; aged 28 to 64 years old, with an average 45 years old, are a direct result of violence and trauma to carry out emergency surgery. 1.2 Surgical Methods tourniquet. Anterior median longitudinal incision to the subcutaneous tissue on both sides of free, exposed fracture site. Incision along the medial edge of the medial patellar retinaculum, the patella flip directly face the patellar articular surface. The patellar articular surface reduction, Kirschner wire in parallel with the articular surface is fixed, the number and diameter of the fra