Sun Yan,Guo Xingqi,Chen Zhifeng,et al.Clinical efficacy of “+” suturing fixation for acute patella dislocation with cartilage fracture in adolescents[J].Journal of Clinical Pediatric Surgery,,18():1031-1035.[doi:10.3969/j.issn.1671-6353.2019.12.009]
Clinical efficacy of “+” suturing fixation for acute patella dislocation with cartilage fracture in adolescents
- CLC:
- R726.8;R681.8;R681.3
- Abstract:
- Objective To retrospectively analyze the clinical efficacy of "+" suturing fixation for acute patella dislocation with cartilage fracture in adolescents.Methods A total of 27 children of acute patella dislocation with cartilage fractures were recruited from May 2016 to May 2018.All of them underwent "+" suturing fixation with non-absorbable sutures and medial patella support band tightening or plus lateral support band releasing.Regular postoperative follow-ups were performed.The average follow-up period was 13.4 months.To observe the presence or absence of recurrence dislocation,patella axial films and fear test were performed for assessing the stability of patella.At 1 year postoperation,magnetic resonance imaging (MRI) was re-examined for tracking the healing of cartilage fracture.And the Lysholm score was employed for evaluating the preoperative function of knee and at the last follow-up.Results All of them achieved an excellent wound healing without rejection,infection or complete dislocation of patella.Patella axial films hinted at subluxation (n=7) and fear test was weakly positive (n=4).The instability rate of patella was 26%.At 1 year post-operation,MRI examination showed that no dislodging of patella cartilage block occurred and healing was excellent.The average preoperative Lysholm score was (36.4+8.3) and the last follow-up Lysholm score (86.3+5.8) (t=16.83,P=0.02).And the Lysholm scores improved significantly after treatment and there was statistical significance (P<0.05).Conclusion The methods of "+" suturing fixation with non-absorbable sutures for cartilage fracture of acute patella dislocation is effective and worthy of wider clinical applications.
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Memo
收稿日期:2019-07-29。
通讯作者:陈志峰,Email:157853984@qq.com