ABSTRACT
[Objective]To investigate the clinical effect of minimally invasive technique for patellar fracture with kirschner's wire tensile band through subcutaneously tunnel.[Method]Forty-three cases of closed patella fracture were reduced with minimally invasive, a subcutaneously tunnel was established on the patella surface, blood clot and debris were cleaned through the tunnel. After anatomic reduction, fixed the fracture with Kirschner wire tension band. Function exercise was started early. [Result]All the fractures were approached anatomic reduction and skeletal union. Superficial layer on the patella had no conglutination. The scar and pain in the patella prezone were less than before. The score of Lysholm II was 86.8. Forty-three cases were followed up for an average of 16.3 months. All knee joint could move from 0? to 105?.[Conclusion]Minimally invasive technique for patella fracture with kirschner's tensile band wire could treat patellar fracture reliably and clinical curative effect is excellent.
ABSTRACT
Objective:To introduce the clinical experiences of repairing ventricular septal defect through right subaxillary minithoracotomy and to evaluate it's clinical effect.Methods:46 cases of VSD were repaired through right subaxillary minithoracotomy.The sizes of the defects varied from 0.4～0.8cm in diameter and all of them were membranous or conventricular defects.The average age was 7.1 ys.Results:There was no operative death or complication.The lenth of incision varied from 5～10cm.Cardiopulmonary bypass time were 21～42 minutes.Postoperative hospitalized time were 6 to 10 days.Conclusion:Repairing of ventricular septal defect through subaxillary minithoracotomy have the advantages of minimal trauma,hidden incision and quicker recovery.