[Fractures of the patella].

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Abstract

[Indexed for MEDLINE] 17. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Aug 15;35(8):1057-1062. doi: 10.7507/1002-1892.202104068. [Progress in the surgical treatment of the patellar fracture]. [Article in Chinese; Abstract available in Chinese from the publisher] Li G(1), Liu P(1)(2). Author information: (1)Department of Orthopedics, Liyuan Hospital Affiliated to Tongji Medical School of Huazhong University of Science and Technology, Wuhan Hubei, 430077, P.R.China. (2)Physical Examination Center, Liyuan Hospital Affiliated to Tongji Medical School of Huazhong University of Science and Technology, Wuhan Hubei, 430077, P.R.China. OBJECTIVE: To review research progress of surgical treatment of patellar fractures. METHODS: The domestic and foreign literature about patellar fracture treatment in recent years was extensively consulted, and the advantages, disadvantages, and indications of various surgical treatments were summarized. RESULTS: The patella plays an important role in knee flexion and extension activities, and the fracture significantly affects the patient's quality of life. At present, the surgical methods include open reduction and internal fixation and patella resection. The internal fixation methods include ring/binding patella fixation, tension band wiring and improved technology, tension band wiring combined with other methods, screw fixation (including absorbable screws), steel plate fixation, and patella fixator fixation. Each surgical method has different indications, advantages, and disadvantages. Choosing an appropriate treatment plan plays a crucial role in clinical prognosis. CONCLUSION: There are many surgical treatments for patellar fractures. In order to improve the effectiveness and reduce postoperative complications, it is necessary to choose the most appropriate treatment strategy for the type of fracture. Publisher: 目的: 综述髌骨骨折手术治疗方式的研究进展。. 方法: 广泛查阅近年国内外髌骨骨折治疗相关文献，对各种手术治疗方式的优缺点及适应证进行总结。. 结果: 髌骨在膝关节屈伸活动中具有重要作用，骨折后明显影响患者生活质量。目前，临床应用的主要手术方式有切开复位内固定以及髌骨切除，内固定方式包括环（捆）扎固定、张力带及其改良技术、张力带联合其他技术、螺钉（包括可吸收螺钉）固定、钢板以及髌骨复位固定器固定。各手术方式的适应证、优缺点不尽相同，选择合适的治疗方案对临床预后具有重要意义。. 结论: 髌骨骨折有多种手术治疗方式，为提高手术效果、减少术后并发症发生，需针对骨折类型选择最合适的治疗策略。. DOI: 10.7507/1002-1892.202104068 PMCID: PMC8403998