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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Risk of tibial fracture after patella distallization and strategies for prevention
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Risk of tibial fracture after patella distallization and strategies for prevention

机译：distal骨远侧手术后胫骨骨折的风险及预防策略

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Objectives: To identify the risk of spontaneous proximal tibial shaft fracture after distallization of the patella, and prevention strategies. Methods: Case reports and operative technique. Two cases of tibial fracture are presented, arising from a stress riser in the tibial crest due to a residual anterior cortical defect. There had been no warning symptoms before the fractures. Results: The fractures required internal fixation of the proximal tibial shaft. Discussion: Prevention requires check X-Ray prior to return to full activity after patella distallization, and possible further surgery if a residual cortical defect is identified. At the time of the index surgery, the risk of a residual cortical defect can be minimized by ensuring accurate apposition of the two anterior bone fragments, and applying compression across the site of an oblique osteotomy between those fragments where a bone segment is resected. Conclusion: Awareness of this potential complication should ensure effective preventative strategies.
机译：目的：确定distal骨远端化后自发性胫骨干近端骨折的风险和预防策略。方法：病例报告及手术技术。出现了2例胫骨骨折病例，这是由于残留的前皮质缺损导致胫骨顶应力升高所致。骨折之前没有任何警告症状。结果：骨折需要胫骨近端内固定。讨论：预防需要在X骨远端化后恢复完全活动之前检查X射线，如果发现残留的皮质缺损，则可能需要进一步手术。在进行转位手术时，可以通过确保准确地并置两个前骨碎片，并在切开骨节的那些碎片之间的斜截骨部位上施加压力，来最大程度地减少残留皮质缺损的风险。结论：意识到这种潜在的并发症应确保采取有效的预防策略。

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