Učinkovitost osteosinteze s košarastom pločicom kod multifragmentnih prijeloma ivernog vrška - Procjena ekstenzije koljena u kasnom poslijeoperacijskom razdoblju

Autor: Zvonimir Puljiz, Aljoša Matejčić, Björn Dario Franjić, Miroslav Bekavac Bešlin
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Zdroj: Acta clinica Croatica
Volume 43
Issue 3
ISSN: 1333-9451
0353-9466
Popis: The aim of the study was to assess functional status of the knee extensor system in the late postoperative period (at least two years of the operation and implant removal) in patients submitted to basket plate osteosynthesis for transverse or comminuted fracture of the apex of patella. The study included 71 patients with comminuted patellar apex fracture who had undergone basket plate osteosynthesis. The status of the knee extensor system was evaluated by a modified Cincinnati test. Excellent results were recorded in 59.2%, good in 30.6% and satisfactory in 10.2% of study patients. There were no poor results. In addition to ensuring osteosynthesis stability and the potential of early weight bearing, basket plate osteosynthesis meets the requirements of modern traumatology and the authors are inclined to consider it the method of choice to treat comminuted or transverse fractures of the apex of patella.
Cilj ove prospektivne studije bila je procjena funkcijskog statusa ekstenzornog sustava koljena u kasnom poslijeoperacijskom razdoblju (najmanje dvije godine nakon operacije i uklanjanja usatka) u bolesnika podvrgnutih osteosintezi s košarastom pločicom zbog poprečnog ili multifragmentnog prijeloma ivernog vrška. Procjena je obuhvatila 71 bolesnika s multifragmentnim prijelomom patelarnog vrška u kasnom poslijeoperacijskom razdoblju nakon osteosinteze s košarastom pločicom. Status ekstenzornog sustava koljena procjenjivan je modificiranim testom Cincinnati. Izvrsni rezultati su zabilježeni u 59,2%, dobri u 30,6% i zadovoljavajući u 10,2% bolesnika. Loši rezultati dosad nisu zabilježeni. Uz osiguranje stabilnosti osteosinteze i mogućnost ranog opterećenja, osteosinteza s košarastom pločicom ispunjava zahtjeve suvremene traumatologije, te prema našem mišljenju predstavlja metodu izbora u zbrinjavanju multifragmentnog ili poprečnog prijeloma ivernog vrška.
Databáze: OpenAIRE
Externí odkaz: