Reduce tension in the treatment of patellar ligament patellar inferior pole fractures of.doc

 PAGE \* MERGEFORMAT 6 Reduce tension in the treatment of patellar ligament patellar inferior pole fractures of Of: Seaward Woo Yang Zhang Dagang Zhang Yun Hu Bo Puchuan Cheng Tang [Abstract] 21 cases of fracture of the lower pole of the patella patellar tendon to reduce tension treatment of clinical cases were retrospectively analyzed. Up for 12 to 18 months. 6 months after operation, X-ray showed the fracture line disappeared, the articular surface formation. Lysholm knee score after surgery than before surgery improved significantly. [Keywords:] patellar ligament patellar fracture Our department since March 2003 ~ May 2006 to reduce tension with patellar ligament to retain the lower pole of patella fractures of the lower pole of the patella treated 21 patients achieved good clinical results, are as follows. Clinical data 1 General information of the 21 cases, 13 males, 8 females, aged 26 to 75 years, mean 42-year-old patients were .21 lower pole of patella fractures, comminuted fractures of which 17 cases, 4 cases of simple fracture of the lower pole, 18 cases of fresh fractures, old fractures, 3 cases were closed fractures. 2 treatment 2.1 All patients were treated with surgical anterior longitudinal incision in the lower middle, from the bottom of the upper pole of the patella 2cm, down to the tibial tubercle under 2cm, revealed the fracture, the fracture of the proximal fracture of about 1.5cm away from the drill a horizontal hole at and maintain the level of before and after the middle bit, and then at the bottom of 1cm at the tibial tubercle to drill a horizontal hole. with a diameter of 1.25mm wire “8” shaped coil in the patellar and crossed before the two bones in the hole, then bent 90 , adjust the wire tension, the tension of the patellar tendon in the absence of circumstances at the tibial tubercle to tighten the knot at both ends of the fixed wire. to fracture reduction, the articular surface flat, old fractures should be