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Clinical analysis of an anchor nail combined with a titanium cable in the treatment of lower patella fractures

OBJECTIVE: This study was performed to evaluate the clinical effect of an anchor nail and titanium cable for lower patella fractures and identify an effective treatment. METHODS: Thirty-five patients with lower patella fractures were treated using anchor nail and titanium cable technology. The ancho...

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Detalles Bibliográficos
Autores principales: Dong, Zhijun, Liu, Fuyao, Pan, Yuan, Wu, Shengzhong, Luo, Chunshan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783265/
https://www.ncbi.nlm.nih.gov/pubmed/31875753
http://dx.doi.org/10.1177/0300060519873505
Descripción
Sumario:OBJECTIVE: This study was performed to evaluate the clinical effect of an anchor nail and titanium cable for lower patella fractures and identify an effective treatment. METHODS: Thirty-five patients with lower patella fractures were treated using anchor nail and titanium cable technology. The anchor was fixed to the main part of the patella; the lower patella was then fixed. A bone tunnel was created, and the titanium cable was fixed. The fracture was allowed to heal without tension. Postoperative radiographs were obtained at regular follow-up evaluations. The Böstman function scores were used to assess postoperative complications. RESULTS: All patients were followed for an average of 15 months. The fracture healing time ranged from 12 to 24 weeks. The postoperative Böstman function scores were as follows: average, 28.6 points; excellent and good scores in 28 and 7 patients, respectively (100% rate of excellent and good scores). At 6 and 12 months postoperatively, the maximum degree of active extension of the affected knee joint was comparable with that of the healthy contralateral joint. CONCLUSION: The combination of an anchor nail and titanium cable for lower patella fractures is simple and clinically satisfactory, restores knee function well, and is a worthy orthopedic method.