[Objective]To introduce the surgical technique and preliminary clinical results of polyester sutures with Nice knots for fixa-tion of transverse patella fractures.[Methods]A total of 20 patients underwent non-absorbable polyester sutures with Nice knots for fixation of transverse patellar fractures.After anterior midline incision of the knee was made to expose the patella,the fractures were debrided and re-duced,and 4 evenly distributed bone tunnels were established along the longitudinal axis of the patella.The tension band of the suture in fig-ure of 8 was performed on the surface of the patella after the 5 # non-absorbable polyester sutures were introduced through the deeper 2 bone tunnels near articular surface.Finally,a circular band was performed with 5 # non-absorbable polyester sutures through the other superficial 2 bone tunnels.All the suture bundles were tensioned and fastened with Nice knots to fix the fracture.[Results]All the patients had opera-tion performed successfully without serious complications,while with operation time of 50～90 min.At the latest follow up lasted for 12 to 18 months,all of them achieved fracture healing with Böstman patellar fracture function score of(28.3±1.6),and the knee range of motion of(132.3±4.2)°.According to the Böstman patellar fracture function score,all patients were graded as excellent in term of knee function.[Con-clusion]Polyester sutures with Nice knots for fixation of transverse patellar fracture has the advantages of reliable fixation,less complica-tions,and no need for reoperation to remove the internal fixation,does achieve satisfactory clinical consequences in short-term.
NETL
NSTL
万方数据
