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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、准确的手术治疗，以避免膝关节功能障碍的发生。
10 cases of children with patellar fractures, of which 4 cases of transverse fracture with tension band wire fixation, 5 cases of sleeve fracture suture repair, 1 case of comminuted fracture line manual reset plaster external fixation. All cases were followed up for 3 months to 1 year. Nine patients had knee extension 0 ° flexion 90 ° to 100 ° and 1 case comminuted knee extension 0 ° flexion 90 °. Sleeve-shaped fractures in children with patellar fractures easily misdiagnosed, the need to identify the patellar tendon laceration. The indications for surgery depend on whether the fracture is open or closed and the degree of fracture. Patellar fracture is an intra-articular fracture, the treatment needs to reach the anatomic reduction, should strive to timely and accurate surgical treatment, in order to avoid the occurrence of knee dysfunction.