Patella

Müller‐Mai, C. M.; Mielke, E.

doi:10.1007/978-3-540-72512-1_19

Frakturen 2010

DOI: 10.1007/978-3-540-72512-1_19

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Patella

C. M. Müller‐Mai

E. Mielke

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Cited by 2 publications

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Classification and treatment of patella fractures

et al. 2011

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Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2 mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2 mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) need exact reconstruction of the joint surface. In elderly patients conservative treatment or surgical patella-enclosing wiring techniques for stabilization are the best options due to low bone quality.

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Classification and treatment of patella fractures

et al. 2011

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Patellar Fractures - a Review of Classification, Genesis and Evaluation of Treatment

Neumann¹,

Niemeyer²,

Südkamp³

et al. 2014

ACHOT

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The patellar bone is involved in repetitive, load bearing motion sequences every day and functions as a vectorial force translator. A fracture rate of 1% of all skeletal fractures is reported and surgical treatment often required. beside a direct trauma mechanism, indirect mechanism but as well as fatigue fractures after reconstructive knee surgery are published.The fracture management is dependent on the soft tissue condition and a variety of surgical options are known. new generation of low profile plates show promising results but the conventional cerclage wiring technique with K-wires is widely preferred. best functional results with sustainable stability are biomechanically seen after a combined fixation technique using anterior cerclage wiring with cannulated screw fixation. A definite algorithm of treatment of patellar bone fractures is yet not defined but a review of classification and surgical techniques should give assistance in decision making.

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Patella

Cited by 2 publications

References 11 publications

Classification and treatment of patella fractures

Classification and treatment of patella fractures

Patellar Fractures - a Review of Classification, Genesis and Evaluation of Treatment

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