The children with patellar fracture were treated.Among them 4 with transverse fracture were treated by internal fixation with tension-bad wire,5 with sleeve shape fracture were repaired by suturing and 1 smashed fracture was reduced manually and fixed in plaster cast.All the 10 cases were followed up 3 to 12 months,9 of them showed that the extensionflexsion of the injuried knees ranged between 0°(=)90°-100°,the other smashed fracture between 0°(=)90°.The sleeve shape fracture is liable to be misdiagnosed and should be differentiated from the ligament tearing.The operation for patellar fracture,same as in children and in adult,depends on the extensivehess and opening of the fracture.If the fracture is intraarticular,it should be reduced anatomically by operation as earlier as posible in order to avoid the function lost of the knee joint.%10例儿童髌骨骨折,其中4例横行骨折行张力带钢丝内固定,5例袖形骨折行缝合修复,1例粉碎性骨折行手法复位管形石膏外固定.随访3个月～1年,9例患儿的患膝伸0°(=)屈90～100°,1例粉碎性患膝达伸0°(=)屈90°范围.儿童髌骨骨折中袖形骨折容易误诊,临床上需同髌韧带撕裂伤进行鉴别.手术指征取决于骨折呈开放或闭合性以及骨折程度.髌骨骨折属关节内骨折,治疗需达到解剖复位,应力求及时、准确的于术治疗,以避免膝关节功能障碍的发生.
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