지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 785 - 791 (7page)
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초록· 키워드
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Purpose: Among patients over 50 years of age, separate vertical wiring alone may be insufficient for fixation of fractures of the inferior pole of the patella. Therefore, mechanical and clinical studies were performed in patients over the age of 50 to test the strength of augmentation of separate vertical wiring with cerclage wire (i.e., combined technique). Materials and Methods: Multiple osteotomies were performedto create four-part fractures in the inferior poles of eight pairs of cadaveric patellae. One patella from each pair was fixed with the separate wiring technique, while the other patella was fixed with a combined technique. The ultimate load to failure and stiffness of the fixation were subsequently measured. In a clinical study of 21 patients (average age of 64 years), comminuted fractures of the inferior pole of the patellae were treated using the combined technique. Operative parameters were recorded from which post-operative outcomes were evaluated. Results: For cadaveric patellae, whose mean age was 69 years, the mean ultimate loads to failure for the separate vertical wiring technique and the combined technique were 216.4±72.4 N and 324.9±50.6 N, respectively (p=0.012). The mean stiffness for the separate vertical wiring technique and the combined technique was 241.1±68.5 N/mm and 340.8±45.3 N/mm, respectively (p=0.012). In the clinical study, the mean clinical score at final follow-up was 28.1 points. Conclusion: Augmentation of separatevertical wiring with cerclage wire provides enough strength for protected early exercise of the knee joint and uneventful healing.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Biddau F / 2006 / Migration of a broken cerclage wire from the patella into the heart. A case report / J Bone Joint Surg Am 88 : 2057 ~ 2059
Bostman O / 1981 / Comminuted displaced fractures of the patella / Injury 13 : 196 ~ 202
Carpenter JE / 1994 / Fractures of the patella / Instr Course Lect 43 : 97 ~ 108
Carpenter JE / 1997 / Biomechanical evaluation of current patella fracture fixation techniques / J Orthop Trauma 11 : 351 ~ 356
Chang SM / 2011 / Open reduction and internal fixation of displaced patella inferior pole fractures with anterior tension band wiring through cannulated screws / J Orthop Tra
Bostman O / 1981 / Comminuted displaced fractures of the patella / Injury 13 : 196 ~ 202
Carpenter JE / 1994 / Fractures of the patella / Instr Course Lect 43 : 97 ~ 108
Carpenter JE / 1997 / Biomechanical evaluation of current patella fracture fixation techniques / J Orthop Trauma 11 : 351 ~ 356
Chang SM / 2011 / Open reduction and internal fixation of displaced patella inferior pole fractures with anterior tension band wiring through cannulated screws / J Orthop Tra
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