Multiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report

Mani, K.C. Kapil; Acharya, Parimal; Pangeni, Bandhu Ram; Niroula, Ankit; Kc, Amuda

doi:10.31729/jnma.5625

Cited by 2 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, concerns persist regarding potential issues such as soft tissue irritation, breakage of metal wires, and he development of anterior knee pain. 6,7 With the advancement of suture material, suture fixation has emerged as a viable method for treating infrapatellar pole fracture and tendon ruptures. 8 Suture fixation has been associated with minimal soft tissue irritation, lower reoperation rate, and favorable knee range of motion and functional.…”

Section: Discussionmentioning

confidence: 99%

Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment

Hu,

Zhang,

Zhang

et al. 2024

Orthopedic Reviews

View full text Add to dashboard Cite

Purpose Infrapatellar pole fractures are challenging injuries that require appropriate treatment to ensure optimal functional outcomes. This study aimed to introduce the application of the Suture Bridge technique using the 5-Ethibond for the treatment of infrapatellar patella fracture. Methods Five cases of infrapatellar pole fracture that were treated at our institution between February 2020 and September 2021. The patients included one male and four females, with an average age of 66 years (range: 60–77 years). All patients were treated with the Suture Bridge technique using the 5-Ethibond to preserve the infrapatellar pole. Results The average operative time was 64 min (range: 50–80 min). The average blood loss during surgery was 51 mL (range: 40–60 mL). All cases demonstrated fracture healing at an average of 10 weeks (range 8–12) after surgery. The patients were followed up for an average period of 14.8 months (8-22). No wound infection or second displacement of fracture fragment was found. Full range of motion was restored in all patients within 12–14 weeks after surgery. None of the patients complained of anterior knee pain. Conclusions Based on the findings of the study, it appears that the Suture Bridge technique using 5-Ethibond is a promising and viable option for the treatment of infrapatellar pole fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment

Hu,

Zhang,

Zhang

et al. 2024

Orthopedic Reviews

View full text Add to dashboard Cite

show abstract

“…Repetitive loading forces and the strain of both quadriceps and patellar tendon, even after the fracture unites, predispose to wire breakage [1]. There are very few reported cases of patellar wire migration in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Various complications can also occur due to the migration of the broken wire. Broken wires may migrate towards the surrounding soft tissue, causing damage to the important neurovascular structures [1]. Migration of the wire to other major organs like the heart can cause potentially fatal complications [2].…”

Section: Introductionmentioning

confidence: 99%

Challenging Open Extraction of Intraarticular Intracapsular Broken Patellar Cerclage Wire Adjacent to the Medial Femoral Condyle Following Unsuccessful Arthroscopic Removal

Bhavani,

Roy,

Das

et al. 2024

Cureus

View full text Add to dashboard Cite

Cerclage wiring and tension band wiring are commonly utilized in orthopedic surgeries for patellar fractures, but wire breakage is a recognized complication. This report presents a rare case where a broken cerclage wire exhibited intraarticular intracapsular migration, prompting open removal adjacent to the medial femoral condyle after unsuccessful attempts at arthroscopic extraction. A 50-year-old male with a history of patellar fracture fixation using cerclage and tension band wiring, presented with persistent knee pain and restricted motion. Radiographs revealed a united patellar fracture with a broken cerclage wire, and 3D CT pinpointed the wire fragment in the posterior knee compartment. Arthroscopic removal attempts through standard portals were ineffective, leading to a subsequent open removal via a Burk and Schaffer approach. Intraoperative fluoroscopy guided the thorough dissection, exposing the broken wire deep within the joint capsule, proximal to the intercondylar notch and adjacent to the medial femoral condyle. Meticulous extraction mitigated potential risks of cartilage and neurovascular damage. Follow-up imaging confirmed successful wire removal, and the patient experienced satisfactory functional recovery without significant complications. This case highlights the rare occurrence of intraarticular intracapsular migration of a broken cerclage wire and underscores the importance of timely removal to mitigate risks of cartilage and neurovascular damage. While arthroscopic removal is generally successful, cases of failure may necessitate open extraction, particularly when the wire is located posteriorly. The described approach, assisted by intraoperative fluoroscopy, proved effective in safely removing the broken wire and ensuring optimal patient outcomes.

show abstract

Multiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report

Cited by 2 publications

References 1 publication

Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment

Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment

Challenging Open Extraction of Intraarticular Intracapsular Broken Patellar Cerclage Wire Adjacent to the Medial Femoral Condyle Following Unsuccessful Arthroscopic Removal

Contact Info

Product

Resources

About