中国修复重建外科杂志最新文献

{"title":"[Research progress of tibial plateau fracture associated with proximal fibular fracture].","authors":"Jian Yang, Zhanle Zheng","doi":"10.7507/1002-1892.202602070","DOIUrl":"10.7507/1002-1892.202602070","url":null,"abstract":"<p><strong>Objective: </strong>To review the research progress of tibial plateau fracture associated with proximal fibular fracture in recent years, and to provide references for clinical treatment.</p><p><strong>Methods: </strong>The relevant literature on tibial plateau fractures associated with proximal fibular fractures was extensively reviewed both domestically and internationally, and summarized from the following aspects: epidemiological characteristics, biomechanics of the lateral stabilizing structures of the knee, current classification systems, treatment strategies, internal fixation biomechanics, and current treatment status.</p><p><strong>Results: </strong>About 1/3 of the cases of tibial plateau fractures were combined with proximal fibular fractures. Proximal fibular fractures disrupt the biomechanical balance of the lateral column and posterolateral angle of the lower extremities, which increases the risk of joint instability and traumatic arthritis, and accelerates degenerative changes in the medial compartment. Commonly used fracture classifications in clinical practice include Schatzker classification, new proximal fibula classification, and four-pillar nine-segment classification, which provide an important basis for the formulation of treatment strategies. With the continuous development of internal fixation materials and technologies, various internal fixation devices, such as screws, plates, and intramedullary nails, as well as minimally invasive techniques, arthroscopy, and robot-assisted technologies, have substantially expanded the available surgical options.</p><p><strong>Conclusion: </strong>The proximal fibula plays an important supporting role in tibial plateau fractures. For patients with tibial plateau fractures associated with proximal fibular fractures, priority should be given to fibula fixation, which can effectively rebuild knee stability, reduce the risk of joint instability and traumatic arthritis, and improve the over prognosis. In the future, it is necessary to further optimize the typing criteria and treatment strategies to achieve individualized precision treatment.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1600-1606"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Interpretation of the 2026 Association Research Circulation Osseous (ARCO) International Evidence-Based Clinical Practice Guideline: Diagnosis and Treatment of Nontraumatic Osteonecrosis of the Femoral Head].","authors":"Dewei Zhao, Jiawei Ying","doi":"10.7507/1002-1892.202609062","DOIUrl":"10.7507/1002-1892.202609062","url":null,"abstract":"<p><p>Nontraumatic osteonecrosis of the femoral head (ONFH) predominantly affects young and middle-aged adults and carries a high risk of disability. Substantial variations exist in diagnostic and treatment strategies worldwide, and unified evidence-based standards have been lacking. In April 2026, the Association Research Circulation Osseous (ARCO) published the first international multidisciplinary evidence-based clinical practice guideline for nontraumatic ONFH. Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, the guideline formulated 12 standardized recommendations for diagnosis and treatment. One of the authors participated throughout the guideline-development process as a member of the Chinese working group. This article interprets all 12 recommendations and compares international and Chinese diagnostic and treatment strategies in the context of existing Chinese guidelines and clinical practice. It also examines limitations in the available evidence and proposes approaches for implementing the recommendations in China, thereby providing an evidence-based reference for standardized staging, hip-preserving treatment, and individualized decision-making between joint preservation and arthroplasty for patients with nontraumatic ONFH.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1469-1473"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[One-stage debridement and internal fixation exchange combined with continuous local antibiotic irrigation in treatment of fracture-related infection].","authors":"Guangwei Wu, Qunchuan Zong, Yimin Shen, Guoliang Gao, Qifu Zhang, Tao Wang","doi":"10.7507/1002-1892.202605059","DOIUrl":"10.7507/1002-1892.202605059","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness and application value of one-stage debridement, internal fixation exchange combined with continuous local antibiotic irrigation in the treatment of fracture-related infection (FRI).</p><p><strong>Methods: </strong>The clinical data of 11 FRI patients who met the selection criteria between January 2023 and January 2025 were retrospectively analyzed. There were 7 males and 4 females, aged 39-82 years (mean, 58.6 years). The fracture sites included humerus in 3 cases, femur in 4 cases, and tibia in 4 cases. The initial fixation methods were plate fixation in 6 cases and intramedullary nailing in 5 cases. The time from fracture surgery to infection onset ranged from 17 to 630 days (mean, 121 days). All patients underwent one-stage thorough debridement, internal fixation exchange, and continuous local antibiotic irrigation with alternating vancomycin and meropenem. The operation time, intraoperative blood loss, drainage tube indwelling time, and hospital stay were recorded; infection control and fracture healing were evaluated; the Hospital for Special Surgery (HSS) score was used to assess hip and knee joint function, and the Mayo Elbow Performance Score (MEPS) was used to evaluate elbow joint function.</p><p><strong>Results: </strong>All 11 patients completed the operation successfully. The operation time ranged from 83 to 150 minutes (mean, 113.0 minutes); the intraoperative blood loss ranged from 200 to 810 mL (mean, 364.5 mL); the drainage tube indwelling time ranged from 11 to 15 days (mean, 12.9 days); and the hospital stay ranged from 15 to 27 days (mean, 21.5 days). All patients were followed up 12-29 months (mean, 20.1 months). During the follow-up, no infection recurrence was observed; fracture healing was achieved at last follow-up; no severe antibiotic-related adverse reactions or internal fixation failure occurred. At last follow-up, among the 4 patients undergoing tibial internal fixation revision, the knee HSS scores were excellent in 2, good in 1, and poor in 1; among the 3 patients undergoing humeral internal fixation revision, the elbow MEPS scores were excellent in 3; among the 4 patients undergoing femoral internal fixation revision, the hip HSS scores were excellent in 2 and good in 2.</p><p><strong>Conclusion: </strong>For strictly selected FRI patients, one-stage thorough debridement, internal fixation exchange combined with continuous local antibiotic irrigation can effectively control infection while restoring bone stability, reducing complications associated with staged surgery, demonstrating favorable clinical efficacy and safety.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1516-1523"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Comparison between Taylor spatial frame and Ilizarov circular frame in treatment of large-segment tibial bone defect].","authors":"Bowen Shi, Hengsheng Shu","doi":"10.7507/1002-1892.202605051","DOIUrl":"10.7507/1002-1892.202605051","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To compare the effectiveness of bone transport using the Taylor spatial frame (TSF) versus the Ilizarov circular frame (ICF) in the treatment of long-segment tibial bone defects.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective analysis was performed on the clinical data of 44 patients with large-segment tibial bone defects who met the selection criteria and received surgical treatment between January 2011 and December 2024. The patients were divided into the TSF group (25 cases) and the ICF group (19 cases) according to different external fixation methods. There was no significant difference in baseline data including gender, age, bone defect length, defect etiology, and number of previous operations between the two groups ( &lt;i&gt;P&lt;/i&gt;&gt;0.05). The operation time, external fixation duration, external fixation index, and postoperative complications were recorded and compared between the two groups. At last follow-up, the medial proximal tibial angle (MPTA) and posterior proximal tibial angle (PPTA) were measured. The Hospital for Special Surgery (HSS) score, American Orthopaedic Foot & Ankle Society (AOFAS) score, and the bone and functional evaluation criteria of the Association for the Study and Application of the Method of Ilizarov (ASAMI) were adopted to evaluate the affected limb function, and the range of motion of the knee and ankle joints.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;All patients in both groups successfully completed the operation. The TSF group had a significantly shorter operation time than the ICF group ( &lt;i&gt;P&lt;/i&gt;&lt;0.05), while there was no significant difference in external fixation duration, or external fixation index between the two groups ( &lt;i&gt;P&lt;/i&gt;&gt;0.05). All patients were followed up 12-36 months, with an average of 18.5 months. At last follow-up, the MPTA and PPTA in the TSF group returned to the normal range, whereas those in the ICF group deviated from the normal values, and the differences between the two groups were significant ( &lt;i&gt;P&lt;/i&gt;&lt;0.05). No significant difference was observed between the two groups in HSS score, AOFAS score, maximum knee flexion range of motion, and maximum ankle plantarflexion and dorsiflexion range of motion ( &lt;i&gt;P&lt;/i&gt;&gt;0.05). The TSF group achieved superior ASAMI bone evaluation results compared with the ICF group ( &lt;i&gt;P&lt;/i&gt;&lt;0.05), while no significant difference was found in ASAMI functional evaluation between the two groups ( &lt;i&gt;P&lt;/i&gt;&gt;0.05). No severe intraoperative neurovascular injury occurred in either group. Superficial pin tract infection occurred in 9 patients in the TSF group and 8 patients in the ICF group, which was controlled after conservative treatment. One patient in the ICF group developed deep pin tract infection and recovered after surgical debridement. Axial deviation was found in 3 cases in the ICF group. Delayed union of the docking site occurred in 2 cases in the TSF group and 3 cases in the ICF group. Refracture after frame removal was observed in","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1509-1515"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Advances in biodegradable medical magnesium alloys for orthopedic applications].","authors":"Xingyu Shan, Hongda Wang, Jialong Lu, Zili Feng, Huanxi Li, Zhimin Tian, Kaipeng Zhuang, Shenghu Zhou, Haoqiang Zhang","doi":"10.7507/1002-1892.202601053","DOIUrl":"10.7507/1002-1892.202601053","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review the current research status of biodegradable medical magnesium alloys as orthopedic implant materials, clarify key advances in composition design, fabrication processing, surface modification, and biological mechanisms, and identify the major scientific questions and engineering challenges in clinical translation, thus providing a theoretical foundation for future product development and clinical application.</p><p><strong>Methods: </strong>The literature on magnesium alloy implants both domestically and internationally in recent years was extensively reviewed, with a particular focus on alloying strategies, advanced fabrication techniques, and surface modification processes and their effects on corrosion behavior and bioactivity, as well as the molecular evidence of magnesium ion (Mg ²⁺)-mediated regulatory pathways governing osteogenesis and osteoclastogenesis.</p><p><strong>Results: </strong>Alloy design and process optimization significantly improve the mechanical properties and degradation controllability of magnesium alloys, while surface modification effectively retards initial corrosion and enhances biocompatibility. Biological studies confirm that Mg ²⁺ promotes osteogenic differentiation and angiogenesis through multiple signaling cascades while concurrently suppressing osteoclast activity. Furthermore, the mildly alkaline microenvironment generated during degradation, together with H ₂ evolution, contributes to antibacterial activity. Clinically, magnesium alloy implants have received regulatory approval in countries including Germany and China, and have shown promising preliminary outcomes in fracture fixation and bone defect repair.</p><p><strong>Conclusion: </strong>Biodegradable magnesium alloys hold considerable promise for orthopedic implantation; however, precise matching of degradation kinetics with bone healing timelines, rigorous evaluation of long-term biosafety, and customization for patient-specific applications remain the primary bottlenecks hampering widespread clinical translation. Future efforts should integrate materials engineering, biological sciences, and digital manufacturing technologies to advance intelligent, personalized therapeutic strategies.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1614-1622"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Comparative study on effectiveness of two fixation methods in treatment of mid-column plantar-flexion Lisfranc injuries].","authors":"Pifan Xiao, Rui Du, Yang Xue, Rongzhi Jia, Guangchao Sun","doi":"10.7507/1002-1892.202605042","DOIUrl":"10.7507/1002-1892.202605042","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of open reduction with screw internal fixation versus primary arthrodesis for mid-column plantar-flexion Lisfranc injuries.</p><p><strong>Methods: </strong>A retrospective analysis was performed on the clinical data of 45 patients (45 feet) with mid-column plantar-flexion Lisfranc injuries, who met the selective criteria between June 2019 and June 2022. Among them, 23 patients were treated with primary tarsometatarsal arthrodesis (arthrodesis group), and 22 patients received open reduction with screw internal fixation (screw group). There was no significant difference between groups ( <i>P</i>>0.05) in age, gender, body mass index, injured side, interval from injury to operation, Myerson classification, and preoperative visual analogue scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score, 36-Item Short-Form Health Survey (SF-36) score, the distance between the medial cuneiform and the second metatarsal (C1-M2), the distance between first and second metatarsal (M1-M2), step-off sign (SOS) displacement, and talus-first metatarsal angle (Meary angle). Operation time, incision length, intraoperative fluoroscopy frequency, intraoperative blood loss, time to initial weight-bearing, time to full weight-bearing, and postoperative complications during follow-up were recorded and compared. Pain and functional recovery were evaluated using VAS, AOFAS, and SF-36 scores. Radiographic parameters including C1-M2, M1-M2, SOS displacement, and Meary angle were measured during follow-up. Intergroup differences in the changes of the all outcome indicators from preoperative to last follow-up were also compared.</p><p><strong>Results: </strong>All patients underwent successful operation. The arthrodesis group had significantly longer operation time, longer incision length, more intraoperative fluoroscopy exposures, and greater intraoperative blood loss compared with the screw group ( <i>P</i><0.05). All patients were followed up 24-36 months (mean, 27.6 months). No significant intergroup difference was found in time to initial weight-bearing or time to full weight-bearing ( <i>P</i>>0.05). At last follow-up, the indicators for function, pain, and imaging in both groups significantly improved compared with those before operation ( <i>P</i><0.05). The arthrodesis group achieved significantly greater changes of AOFAS score, VAS score, SF-36 score, and Meary angle than the screw group ( <i>P</i><0.05). No significant intergroup difference was found in the changes of C1-M2, M1-M2, and SOS ( <i>P</i>>0.05). The incidence of complication was significantly lower in arthrodesis group (8.6%, 2/23) than in screw group (36.3%, 8/22) ( <i>P</i><0.05).</p><p><strong>Conclusion: </strong>For mid-column plantar-flexion Lisfranc injuries, primary tarsometatarsal arthrodesis yields better functional recovery and pain relief compared with open reduction and screw internal fixation.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1569-1575"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Advances on limb reconstruction technology for bone infection].","authors":"Zhiwen Su, Zhao Xie","doi":"10.7507/1002-1892.202605006","DOIUrl":"10.7507/1002-1892.202605006","url":null,"abstract":"<p><p>Bone infection is a highly challenging complication in the clinical diagnosis and treatment of orthopedic trauma. Patients with open fractures and soft tissue defects caused by high energy injuries have a significantly increased risk of infection. Moreover, postoperative debridement is prone to secondary pathological changes such as bone defects, limb shortening or deformities, which seriously affect the recovery of the affected limb's motor function. Thorough debridement is the core principle of clinical treatment for bone infections, and the limb reconstruction after debridement has become a key issue that urgently needs to be addressed in clinical practice. This article systematically reviews the clinical application progress, technical optimization strategies, and clinical efficacy of Papineau technique, vascularized fibular transplantation, Masquelet technique, Ilizarov bone transport, and other techniques in limb reconstruction after bone infection. The aim is to provide reference for clinical diagnosis and treatment decisions in complex limb reconstruction after bone infection.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1494-1501"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Transcutaneous osseointegration for amputees: foundational principles and current concepts].","authors":"Hoellwarth Jason S, Rozbruch S Robert, Reif Taylor J, Yueliang Zhu","doi":"10.7507/1002-1892.202606002","DOIUrl":"10.7507/1002-1892.202606002","url":null,"abstract":"<p><p>Transcutaneous osseointegrated prostheses, which anchor titanium alloy implants into the residual limb bone, offer an alternative for amputees suffering from socket-related complications (occurring in up to 75% of cases). The principle is based on the direct titanium-bone interface, which forms a microscopic gap of approximately 20-50 nm that physically blocks bacteria (typically about 500 nm in diameter); combined with the use of high-purity titanium, this makes percutaneous infection risk much lower than that of traditional implants. Mainstream systems include the hollow-screw design (OPRA), the retrograde-nail design (TiTON), and the compression design (Compress), among which TiTON has wide applicability and is mostly implantable in a single-stage surgery. Clinical studies confirm that the technique significantly improves walking efficiency (by about 20%), wearing time, and quality of life, while osseoperception enhances balance and prosthesis embodiment; combined with nerve reconstruction, it can alleviate neuropathic pain. Major complications such as infection (mostly mechanical skin irritation), periprosthetic fractures (mostly traumatic), and implant fracture are rare, and the risk of severe disability or death is only 0.4%, far lower than infection-related risks in joint replacement. Future research should focus on stabilizing the skin penetration site and further exploring the anti-infective mechanisms of the titanium-bone interface to broaden its application.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1485-1493"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Maximum limb reconstruction: concept and implementation strategies].","authors":"Yueliang Zhu","doi":"10.7507/1002-1892.202608094","DOIUrl":"10.7507/1002-1892.202608094","url":null,"abstract":"<p><p>Thanks to the rapid development of modern science and medicine, limb reconstruction can and should be taken to the next level. The author proposes the concept of \"maximum limb reconstruction\", which pursues not merely function but the maximal normalization of structure, morphology, and function, leveraging advances in prosthetics, artificial intelligence, and exoskeleton technology to enhance limb preservation. For the three pathological states-defect, infection, and deformity-sequential strategies are outlined: ① mutilating injuries are managed in three phases (early revascularization, mid-term wound coverage and infection control, late length restoration and functional reconstruction); ② osteomyelitis treatment must prioritize radical debridement over reconstructive techniques; ③ severe deformities require active limb salvage treatment, long-term follow-up, and recognition of natural remodeling potential. Ultimately, limb reconstruction surgeons should integrate modern technology with holistic patient needs-physical, psychological, and sexual-to continuously improve outcomes, recognizing that the native limb, however imperfect, holds irreplaceable value for human identity and well-being.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1480-1484"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Progress in surgical fixation methods for patellar osteochondral fractures following acute patellar dislocation].","authors":"Jingxin Li, Li Gong, Ming Zhou","doi":"10.7507/1002-1892.202601035","DOIUrl":"10.7507/1002-1892.202601035","url":null,"abstract":"<p><strong>Objective: </strong>To review the research progress on fixation methods for patellar osteochondral fractures (OCFs) following acute patellar dislocation.</p><p><strong>Methods: </strong>The domestic and foreign literature concerning the surgical fixation of patellar OCFs after acute patellar dislocation in recent years was extensively reviewed. The advantages, disadvantages, and indications of various surgical treatment methods were summarized.</p><p><strong>Results: </strong>Acute patellar dislocation is frequently complicated by patellar OCFs, which significantly impair patients' quality of life. Current surgical management of patellar OCFs primarily consists of two major strategies: reduction and internal fixation preserving the osteochondral fragment, and cartilage repair following fragment removal. Surgical reduction and internal fixation can maximally preserve the native hyaline cartilage and subchondral bone, holding significant importance for treating fragments that are difficult to repair. Internal fixation techniques include metal screw fixation, suture cerclage/circumferential fixation, bioabsorbable fixation, and combined fixation methods. The indications, advantages, and disadvantages of each surgical fixation method vary. Selecting an appropriate treatment regimen is crucial for clinical prognosis. Moreover, tissue engineering combined with regenerative medicine represents a promising synergistic strategy for integrated repair of refractory osteochondral defects.</p><p><strong>Conclusion: </strong>There are various surgical fixation methods for patellar OCFs resulting from acute patellar dislocation. To enhance surgical outcomes and reduce postoperative complications, the most suitable treatment strategy should be selected based on the size, location, and quality of the osteochondral fragment.</p>","PeriodicalId":23979,"journal":{"name":"中国修复重建外科杂志","volume":"40 10","pages":"1607-1613"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}