中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/23833

全文

(1)S62. 1% 75 175 3. 5. 2005;10 Supplement:S62-6. (direct trauma). (indirect. trauma) (comminution) 150. 160. 20. (transverse). ( (. ). X. ). (transverse fracture). 3 mm. (. ) (. 1/3 8 mm). 75 175. (. ) (. ) ( 404. 2. 2004. 11. 2005. 1. 19 31. ) 2005. 1. 5.

(2) S63. X. (transverse. fracture). (patellectomy). 30% .... 3.3 X. (. 7.6. ) 3 (. 5. [2]. ) (direct trauma). (indirect trauma) (comminution). 1% [1].

(3) S64. X. 3. 5. (transverse). (internal fixation) excision). (partial. (patellectomy). 73%. [6-8] (nondisplaced fracture) (minimally displaced). Bostrom 3 mm (. [3]. stepoff. 2 mm. 98%. [9]. < 2 mm). (extensor mechanism) (straight leg raise). [10]. [4,5] (open reduction).

(4) S65. 3. ( ). [11]. (. ) 162. 82.2% [12] X (catching patella) 84%. 1. Bostrom A. Fracture of the patella. A study of 422 patellar fractures. Acta Orthop Scand Suppl 1972; 143:S1-80. 2. Kaufer H. Mechanical function of the patella. J Bone Joint Surg Am 1971;53:1551-60. 3. Birgitta E, Johnell O, Redfund-Johnell I. Patellar fractures: A thirty year follow-up. Acta Orthop Scand 1999;60:712-4. 4. Laura S. Phieffer, Richard F. Kyle. Treatment of patellar fractures. In: Thomas L. Wickiewicz, ed. Techniques in Knee Surgery, Philadelphia: Lippincott Williams & Wilkins, 2003:153-9. 5. Chapman, Michael W. Patellar Fractures. In: Chapman, Michael W, eds. Chapman's Orthopaedic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2001: 725-35. 6. Bostman O, Kiviluoto O, Santavirta S, et al. Fractures of the patella treated by operation. Arch Orthop Trauma Surg 1983;102:78-81. 7. Johnson EE. Fractures of patella. In: CA Rockwood, DP Green, RW Bucholz, eds. Fractures in Adults. Philadelphia: JB Lippincott,1991:1765. 8. Levack B, Flannagan JP, Hobbs S. Results of surgical treatment of patellar fractures. J Bone Joint Surg Br 1985;67:416-9. 9. Bostrom A. Longitudinal fractures of the patella. Reconstr Surg Traumatol 1974;14:136-46. 10. 3. 1724. 11.. [13]. 5. 390. 1406:. 12.. 162 2002;23:11-2. 13.. (. ) [14]. 157 2004:187-9. ( [15] ). 2000;23:25-6. 14. 15. 1995:302-6.

(5) S66. Manipulative Close Reduction with Peripatellapexor for Patellar Fracture Yi-Chang Tsai, Sheng-Hsien Wu Department of TCM Orthopedics and Traumatology, China Medical University Hospital, Taichung, Taiwan, R.O.C.. Patellar fractures are uncommon injuries and account for approximately 1% of all fractures. Treatment for patellar fractures includes operative and nonoperative management. We report a case of a 75-year-old man who suffered a patellar transversal fracture after falling down some stairs. The displacement was corrected by nonoperative close reduction therapy, and peripatellapexor was used to fix the patella for 6 weeks to restrict the knee joint from extending beyond 175 degrees. The patient's dressing was changed every two days. After 6 months of follow-up and physical therapy, the knee joint appeared normal, although the range of motion was limited to about 3 to 5 degrees when extended. No case reports have been published within the past 10 years which have specifically addressed the treatment of manipulative close reduction with peripatellapexor. ( Mid Taiwan J Med 2005;10 Supplement:S62-6 ). Key words manipulative close reduction, patellar fractures, peripatellapexor. Received : 19 November 2004.. Revised : 5 January 2005.. Accepted : 31 January 2005. Address reprint requests to : Yi-Chang Tsai, Department of TCM Orthopedics and Traumatology, China Medical University Hospital, Taichung, Taiwan, R.O.C..

(6)