Operative Treatment of Patellar Fractures
Journal of the Korean Fracture Society
;
: 314-318, 2004.
Artículo
en Coreano
| WPRIM
| ID: wpr-145575
ABSTRACT
PURPOSE:
To establish a general guide line in the treatment of the patellar fracture MATERIALS ANDMETHODS:
Twenty three patellar fractures followed for 2.2 years in average, treated with internal fixation were evaluated retrospectively. The primary fixations were the metal screw fixation in 7, the Dall-Miles' cable circumferential fixation in 14 and combination of both methods in 2 cases. The additional fixations were the tension band wiring in 9, the load sharing cable fixation in 3 and combination of both methods in 5 cases. The initial postoperative immobilazation of the knee joint in flexion, preferably 90degrees, for 7 days was effective to gain full range of motionRESULTS:
Complete union without displacement was achieved in all cases. Full ROM was achieved in all cases except one.CONCLUSION:
The choice of internal fixation need to be individualized according to the level of comminution, bone strength, fracture site and soft tissue damage. A strong internal fixation, initial immobilization in flexion followed by early ROM exercise were important factors to gain good result.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Rótula
/
Rehabilitación
/
Estudios Retrospectivos
/
Rango del Movimiento Articular
/
Inmovilización
/
Articulación de la Rodilla
Tipo de estudio:
Estudio observacional
Idioma:
Coreano
Revista:
Journal of the Korean Fracture Society
Año:
2004
Tipo del documento:
Artículo
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