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目的研究儿童套状髌骨骨折的早期诊断、治疗对预后的影响。方法回顾分析1993～2001年收治的10例小儿套状髌骨骨折患者的诊断及处理方法。结果可据张力性膝关节肿胀、高位髌骨和髌骨下套状骨块特征性征象明确诊断;治疗以早期手术治疗为主,行手术切开复位,固定4周后行膝关节的功能锻炼。预后良好。结论小儿套状髌骨骨折远端多为软骨而骨质较少,临床工作中极易发生误诊或漏诊。早期的诊断及治疗对预后有重要意义。
Objective To study the early diagnosis and treatment of children’s sleeve patella fractures on the prognosis. Methods A retrospective analysis of 10 cases of pediatric patellar fracture in 1993 to 2001 in patients with diagnosis and treatment. The results can be based on tension knee swelling, patella and the patella under the trocar shape characteristics of clear diagnosis; treatment of early surgical treatment, surgical incision and reduction, fixed 4 weeks after the knee joint exercises. The prognosis is good. Conclusion Pediatric patellar fractures are mostly distal cartilage and less bone, misdiagnosis or missed diagnosis in clinical work. Early diagnosis and treatment of prognosis of great significance.