Arthroscopically assisted percutaneous osteosynthesis of displaced transverse patellar fractures with figure-eight wiring through paired cannulated screws

Chiang, Chao-Ching; Huang, Ching-Kuei; Chen, Wei-Ming; Lin, Chi Feng; Tzeng, Yun-Hsuan; Liu, Chien-Lin

doi:10.1007/s00402-010-1241-x

Cited by 25 publications

(42 citation statements)

References 14 publications

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“…2 Furthermore, the joint surface could not be Closed reduction has been reported by various authors previously. [3][4][5][6] All of these cases used fluoroscopy for the reduction. We have encountered some difficulty in correcting rotational displacement with this method because the shape of the patella cannot be projected using a 2-dimensional monitor.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, there are some arthroscopically assisted ways of rendering closed reduction. 5,6 All of them check for articular congruity from inside the joint but with some difficulty visualizing the broken patella from inside the joint. The patella cannot be lifted by water pressure as in the intact joint cavity because of the broken joint capsule.…”

Section: Discussionmentioning

confidence: 99%

“…Tension-band wiring and/or screw fixation can usually be performed without difficulty with these 4 small incisions as shown in previous reports. [3][4][5][6] Case Presentations…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3][4][5][6] Usually from a longitudinal or transverse incision, tension-band wiring and/or screw fixation is attempted as the gold standard. 2 Some procedures introduced subcutaneous wiring with small incisions using an image intensifier, [3][4][5][6] which is not always sufficiently accurate because the images are 2-dimensional. Other authors reported the use of percutaneous wiring with the aid of an arthroscope 5,6 as a means of confirming intra-articular inspection.…”

mentioning

confidence: 99%

“…2 Some procedures introduced subcutaneous wiring with small incisions using an image intensifier, [3][4][5][6] which is not always sufficiently accurate because the images are 2-dimensional. Other authors reported the use of percutaneous wiring with the aid of an arthroscope 5,6 as a means of confirming intra-articular inspection. At present, no reports describe use of an arthroscope from outside the joint.…”

mentioning

confidence: 99%

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A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure

Maeno

Hashimoto

Otani

et al. 2013

Arthroscopy Techniques

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We describe a novel operative technique for patellar fracture. The patient is placed in the supine position for setup of both an image intensifier and arthroscopy. After routine intra-articular inspection with an arthroscope, an extraarticular space including the prepatellar bursa is developed. The space is created with a lifting hanger applied from a portal wherein an arthroscope can then afford both intra-and extra-articular observation of the articular and bony surface of the patella. By use of an image intensifier, the fracture can be treated and fixed in percutaneous fashion with the aid of an arthroscope. This new technique offers surgeons a magnified view of the patella, both intra-and extra-articularly, through a minimally invasive procedure. Although it includes inherent risks and limitations, this new application of arthroscopy would certainly help surgeons to treat patellar fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Tension-band wiring and/or screw fixation can usually be performed without difficulty with these 4 small incisions as shown in previous reports. [3][4][5][6] Case Presentations…”

Section: Methodsmentioning

confidence: 99%