仅使用非吸收性编织聚合缝合线治疗髌骨骨折的改良张力带接线法

IF 0.1 Q4 SURGERY Surgical Techniques Development Pub Date : 2024-06-13 DOI:10.3390/std13020015
Annalisa Itro, A. De Cicco, Gianluca Conza, Luca Schiavo, Niccolò Garofalo, A. Braile, Francesco Nappi, G. Toro
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引用次数: 0

摘要

髌骨骨折约占所有骨折的 1%,其形态受骨骼质量和创伤能量的影响。横向骨折与外展机制失效和关节连接中断有关。髌骨骨折一般采用张力带原理,通过 K 型钢丝和金属包扎固定。拉力带的设计初衷是将施加在髌骨上的巨大拉力转化为压迫力,以获得稳定的固定。金属植入物的使用可能会带来明显的不适感,这主要与 K 型钢丝和卡环对周围软组织的刺激作用有关,通常会导致需要移除植入物。因此,我们采用了一种新颖的技术,仅使用非吸收性编织聚合缝合线来固定髌骨骨折。术后护理包括使用铰接式膝关节支架和特定方案逐步恢复活动范围。就并发症和再手术率而言,纯缝合张力带技术似乎是一种有用的技术,同时还能确保安全和早期活动。
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Modified Tension Band Wiring Using Only Non-Absorbable Braided Polyblend Sutures for the Treatment of Patellar Fractures
Patellar fractures represent approximately 1% of all fractures and the pattern is influenced by the quality of the bone and the energy of the trauma. Transverse fractures are associated with extensor mechanism failure and interruption of joint congruence. Patellar fractures are generally fixed using tension band principles, through K-wires and metal cerclage. The tension band was conceived to transform the considerable tensile force applied to the patella into a compressive one to obtain a stable fixation. The use of metal implants might be associated with a significant discomfort, mostly related to the irritating action of K-wires and cerclage on the surrounding soft tissues, often leading to the need for implant removal. Therefore, we introduced an original technique for fix patellar fractures by using only a non-adsorbable braided polyblend suture. Postoperative care included progressive range of motion recovery using an articulated knee brace and a specific protocol. The suture-only tension band technique seems to be a useful technique in terms of complications and reoperation rate while allowing secure and early mobilization.
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