徒手整復外固定治療髕骨骨折

Manipulative Close Reduction with Peripatellapexor for Patellar Fracture

蔡易昌(Yi-Chang Tsai) ； 吳勝賢(Sheng-Hsien Wu)

《Mid-Taiwan Journal of Medicine》 10卷s期 (2005/06) Pp. s62-s66

https://doi.org/10.6558/MTJM.2005.10(s).9

摘要

髕骨骨折並不是一項常見的傷害，大約只佔所有骨折病患的1%，而大部分的治療多以西醫爲主。這是一名75歲男性，因下樓梯不慎跌倒，左膝直接撞擊階梯，導致髕骨橫向閉鎖性骨折。我們以徒手整復治療髕骨閉銷性骨折，並用「抱膝」固定器外固定，限制膝關節在175度伸展位，固定六週。患者整復後即可回家休息，採用隔一天回門診追蹤並換藥一次，後期配合各項復健手法及運動訓練，目前已經追蹤六個月以上，外觀恢復正常，約有3至5度活動膝部伸展功能受限，整體評估獲得不錯的療效。雖在近十年的國內外英文期刊中，並無找到相關使用徒手整復，加上「抱膝」固定器外固定治療髕骨骨折的案例，但大陸學者們會發表數篇應用類似方法來治療髕骨骨折患者，並得到不錯療效。我們提出此一病例報告是爲將中醫治療髕骨骨折的方法與成效介紹給大家，並爲患者開啓另外一扇治療的窗。

關鍵字

徒手整復 ； 髕骨骨折 ； 抱膝固定器

並列摘要

Patellar fractures are uncommon injuries and account for approximately 1% of all fractures. Treatment for patellar fractures includes operative and nonoperative management. We report a case of a 75-year-old man who suffered a patellar transversal fracture after falling down some stairs. The displacement was corrected by nonoperative close reduction therapy, and peripatellapexor was used to fix the patella for 6 weeks to restrict the knee joint from extending beyond 175 degrees. The patient's dressing was changed every two days. After 6 months of follow-up and physical therapy, the knee joint appeared normal, although the range of motion was limited to about 3 to 5 degrees when extended. No case reports have been published within the past 10 years which have specifically addressed the treatment of manipulative close reduction with peripatellapexor.

並列關鍵字

manipulative close reduction ； patellar fractures ； peripatellapexor