Results of surgical treatment of patellar fractures

1929 ◽  
Vol 25 (5) ◽  
pp. 577-577
Author(s):  
I. Tsimkhes
Keyword(s):  
Surgical Treatment ◽  
Transverse Fracture ◽  
Patellar Fracture ◽  
Patellar Fractures

K. Werwarth (Zentralblatt f. Chir. No. 11, 1929) gives 45 cases. patellar fracture observed for 10 years at the Klose clinic (Danzig). There was a transverse fracture in 26 cases

scholarly journals Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
José Leonardo Rocha de Faria ◽  
Dieno Mol Souza Portella ◽  
Victor Elias Titonelli ◽  
Naasson Trindade Cavanellas ◽  
Rodrigo Pires e Albuquerque ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Male Patient ◽  
Rare Case ◽  
Clinical Results ◽  
Bone Lesions ◽  
Patellar Fracture ◽  
Delayed Treatment ◽  
Severe Impairment ◽  
Patellar Fractures ◽  
Type Of Injury

Patellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasis between the patellar fragments. There is no consensus regarding the best treatment for such cases. This study is aimed at describing a rare case of patellar pseudoarthrosis in a patient who underwent two-step surgical treatment comprising transskeletal patellar traction followed by osteosynthesis with a tension band. A 17-year-old male patient presented with a left patellar fracture that resulted from a fall from a standing height 8 years ago. He did not undergo any type of surgical treatment during that time, but the fracture was immobilized for only 2 weeks. The two-step surgical treatment with transskeletal patellar traction and patellar osteosynthesis was performed and provided satisfactory functional clinical results in this patient. This two-step surgical treatment can be performed in cases similar to ours with satisfactory results.

Surgical Treatment of Comminuted Die-Punch Patellar Fracture

Orthopedics ◽  
2001 ◽  
Vol 24 (10) ◽  
pp. 947-950
Author(s):  
Yan Qun Sun ◽  
Mark Stephen ◽  
Bruce P Meinhard
Keyword(s):  
Surgical Treatment ◽  
Patellar Fracture

Arthroscope-Assisted Surgical Treatment of Patellar Fractures

2019 ◽  
pp. 291-297
Author(s):  
Irfan Esenkaya ◽  
Afşar T. Özkut ◽  
Oğuz Poyanli
Keyword(s):  
Surgical Treatment ◽  
Patellar Fractures

scholarly journals Surgical Treatment of Patellar Fractures using Polyesterbraided and Tekmiron.

1993 ◽  
Vol 42 (4) ◽  
pp. 1399-1402
Author(s):  
Youji Maehara ◽  
Kiyoshi Mori ◽  
Daishirou Yuge
Keyword(s):  
Surgical Treatment ◽  
Patellar Fractures

scholarly journals Treatment of pelvic fractures in cats with patellar fracture and dental anomaly syndrome

2020 ◽  
pp. 1098612X2095961
Author(s):  
Natalia Andrea Reyes Rodriguez ◽  
Steven J Bailey ◽  
Sorrel J Langley-Hobbs
Keyword(s):  
Normal Activity ◽  
Pelvic Fractures ◽  
Fracture Repair ◽  
Direct Result ◽  
Acetabular Fractures ◽  
Patellar Fracture ◽  
Dental Anomaly ◽  
Joint Congruency ◽  
Outcome Information ◽  
Patellar Fractures

Objectives The aim of this study was to describe the treatment and outcome of acetabular and other pelvic fractures in cats with patellar fracture and dental anomaly syndrome (PADS) and to provide advice on how to manage these cases in practice. Methods Data were collated on cats with PADS that were reported to have sustained pelvic fractures or had fractures or fissures of the pelvis identified on submitted radiographs. The details of the fractures were recorded, in addition to any treatment and outcome information. Results Of the 215 cases reported with PADS, 58 cats (27%) were found to have pelvic fractures, none of which were known to have resulted from significant trauma. There were 101 fractures in total and of these 15 were treated with surgery, including 10 acetabular fractures, two ilial, two pubic and one ischial fracture. Screw loosening and loss of fracture reduction was seen in four of the surgically treated fractures (two pubic fractures, one ilial and one acetabular fracture). Fourteen cats were euthanased as a direct result of a fracture occurring. While most pelvic fractures healed uneventfully, some cats remained intermittently lame, but it was not always possible to determine the cause of the lameness from the information available and because all cats had concurrent patellar fractures. Conclusions and relevance Many of the pelvic fractures healed with conservative management. Fractures involving articular surfaces such as acetabular fractures may benefit from surgical stabilisation as surgery may offer the benefits of articular fracture repair with improved joint congruency and a faster return to normal activity.

scholarly journals Clinical Results of Surgical Treatment using Cannulated Screw for Patellar Fractures

2003 ◽  
Vol 52 (3) ◽  
pp. 651-653
Author(s):  
Yoshitomo Naitoh ◽  
Tomoki Yuasa ◽  
Gen Emoto
Keyword(s):  
Surgical Treatment ◽  
Clinical Results ◽  
Cannulated Screw ◽  
Patellar Fractures

Surgical Treatment of the Patellar Fractures

1995 ◽  
Vol 8 (3) ◽  
pp. 578
Author(s):  
Hak Yeong Jeong ◽  
Seung Wook Yang ◽  
Young Cheol Shin ◽  
Han Sung Park ◽  
Tae Ho Joo
Keyword(s):  
Surgical Treatment ◽  
Patellar Fractures

scholarly journals Application of Three-Dimensional Computed Tomography Improved the Interrater Reliability of the AO/OTA Classification Decision in a Patellar Fracture

2021 ◽  
Vol 10 (15) ◽  
pp. 3256
Author(s):  
Seong-Eun Byun ◽  
Oog-Jin Shon ◽  
Jae-Ang Sim ◽  
Yong-Bum Joo ◽  
Ji-Wan Kim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Interrater Reliability ◽  
Three Dimensional ◽  
Treatment Recommendations ◽  
Ct Imaging ◽  
Plain Radiography ◽  
Imaging Modalities ◽  
Patellar Fracture ◽  
Patellar Fractures

We investigated whether interrater reliabilities of the AO/OTA classification of patellar fracture and treatment recommendations change with the imaging modalities applied, including plain radiography and two- and three-dimensional (2-D and 3-D) computed tomography (CT). Seven orthopedic specialists and four orthopedic residents completed a survey of 50 patellar fractures to classify the fractures according to the AO/OTA classification for patellar fractures. Initially, the survey was conducted using plain radiography only, then with 2-D CT introduced three weeks later and 3-D CT introduced six weeks later. Fleiss’ Kappa coefficients were calculated to determine interrater reliability, respectively. The overall interrater reliability of the AO/OTA classifications was 0.40 (95% CI, 0.38–0.42) with plain radiography only and 0.43 (95% CI, 0.41–0.45) with the addition of 2-D CT. With the addition of 3-D CT, the reliability was significantly improved to 0.54 (95% CI, 0.52–0.56). In specialists, interrater reliability of the classifications was moderate with all three imaging modalities. With the use of 3-D CT, interrater reliability of the classification was 0.53 (95% CI, 0.50–0.56), which was significantly higher than that with the use of 2-D CT (κ = 0.45; 95% CI, 0.42–0.48). In residents, interrater reliability of the classification was 0.30 (95% CI, 0.24–0.36) with plain radiography. The reliability improved to 0.49 (95% CI, 0.43–0.56) with the addition of 2-D CT, which was significantly higher than that with plain radiography only. The use of 3-D CT imaging improved interrater reliability of the classification. Therefore, surgeons, especially residents, may benefit from using 3-D CT imaging for classifying and planning the treatment of patellar fractures.

scholarly journals Arthroscopic treatement of patella fractures in children

2017 ◽  
Vol 5 (1) ◽  
pp. 53-57
Author(s):  
Igor V. Timofeev ◽  
Elena Yu. Dyakonova ◽  
Aleksei A. Gusev ◽  
Ekaterina A. Romanova ◽  
Polina V. Khrolenko
Keyword(s):  
Surgical Treatment ◽  
Articular Surface ◽  
Knee Extensor ◽  
Quadriceps Tendon ◽  
Minimal Invasiveness ◽  
Fractures In Children ◽  
Patella Fractures ◽  
Highly Effective ◽  
Patellar Fractures ◽  
Longitudinal Fractures

Introduction. The frequency of patellar fractures is approximately 0.5% to 1.5% of all skeletal injuries. The following types of fractures can be distinguished: avulsive, transverse, longitudinal, and comminuted. In cases of displacement of more than 2–3 mm and quadriceps tendon injuries open reduction and internal fixation with the restoration of the articular surface is more preferable. In cases of longitudinal fractures, arthroscopy is regarded as a highly effective method of surgical treatment. Materials and methods. Using arthroscopy, we have operated on 4 patients with longitudinal fracture of the patella. The average age of the injured persons was 15.4 years (14–17). These were 3 males and 1 female. All patients had sport-related injuries. Because of the longitudinal fracture of the patella, the lateral knee extensor mechanism remained intact, and arthrosopy-assisted surgical intervention with closed reposition of fragments and transcutaneous wire fixation was performed without wire suturing. Results and discussion. Minimal invasiveness, the possibility of visual control over the recovery quality of patellar surface, the reliability of fragment fixation, and a significant reduction in the subsequent rehabilitation make arthroscopy a highly effective method of surgical treatment for patellar fractures.

scholarly journals Surgical treatment and rehabilitation capabilities of patients with patellar fractures

2019 ◽  
Vol 26 (1) ◽  
pp. 11-16 ◽  
Author(s):  
E. I Solod ◽  
N. V Zagorodniy ◽  
A. F Lazarev ◽  
M. B Tsykunov ◽  
M. A Abdulhabirov ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Conflict Of Interest ◽  
Long Term Results ◽  
Optimal Method ◽  
Results Of Treatment ◽  
Combination Osteosynthesis ◽  
Partial Patellectomy ◽  
Patellar Fractures

Relevance. Fractures of the patella represent about 1% of all fractures of the bones. Among surgeons there is no a single approach to the treatment of patients with many fragmentary patellar fractures. After surgical treatment of patients with patellar fractures, various complications could be observed. Aside from that, there is no consensus on the treatment of complex fractures of the patella, and in practice, trauma physicians use a variety of methods of osteosynthesis of the patella. In the light of the foregoing, the study of long-term results of patients after patellar fractures is of particular relevance. Purpose of study: to examine the results of patients after surgical treatment of patellar fractures with a view to devising best practices for its osteosynthesis. Patients and methods. A study of the results of treatment of 78 patients with patellar fractures was conducted. The following groups were identified depending on the type of surgery and the nature of the fracture: Weber osteosynthesis in fragmentary fractures; «cruciform osteosynthesis» and other identical options of osteosynthesis with spokes and wires at three or more fragmented fractures of the patella; combination osteosynthesis. A comparative analysis of the results of treatment of patients after partial patellectomy and osteosynthesis of the patella with spokes and tightening wire loops was conducted. We evaluated the results on the KOOS scale with clinical examination and x-ray examination of patients. Beyond that, we have supplemented this scale with the patients’ own opinion on the evaluation of the results of their treatment. Results. The average follow-up period was 22 months. A comparative analysis of the groups of patients after surgical treatment of patellar fractures on the KOOS scale showed the best results in osteosynthesis of transverse two-fragment patellar fractures by Weber’y - 72%. The results of treatment of patients with many fragmentary patellar fractures using 3-5 spokes and 2-3 wires was - 64%; after the rehabilitation of the lower pole was - 68%) and after partial patellectomy -51%. Conclusion. If a patient has three-fragmented patellar fractures, reasonable results could be achieved by using 3 spokes and 2 tightening wire loops. With four or more fragmentary fractures of the patella, the optimal method for its osteosynthesis is the use of a «cruciform» method with 4 or more spokes in combination with two or three wire loops. The use of patellectomy with subsequent fixation of the blocking wire loop should be avoided in all types of patellar fractures. Key words: patellar fracture, osteosynhesis, surgical treatment Conflict of interest: the authors state no conflict of interest Funding: the study was performed with no external funding

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