Patellar Fracture

Greenfield, Mark A.; Westrich, Geoffrey H.; Haas, Steven B.

doi:10.1007/0-387-21714-2_64

Cited by 1 publication

(3 citation statements)

References 44 publications

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“…As early as in 1909, Heineck reviewed 1100 patella fractures and concluded that total patellectomy for simple fractures is to be condemned. He recommended that patellectomy should be done only in severely comminuted fractured (6,(13)(14)(15) .…”

Section: Discussionmentioning

confidence: 99%

“…Kaufer in 1971, on the basis of experimental work showed that the patella was not without importance in the knee joint and was responsible for improving its efficiency and 30% increase in the pull of quadriceps is necessary to compensate for the loss of patella (10)(11)(12)(13)(14)(15)(16)(17) .…”

Section: Introductionmentioning

confidence: 99%

“…The patella is an important component of the extensor mechanism of the knee, significant disability and decrease in knee extension power and function is seen following patellectomy (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) . Marya et al studied the outcomes of patellar fractures submitted to osteosynthesis and patellectomy and found 80% of excellent outcomes in the first group and 50% in the second.…”

Section: Introductionmentioning

confidence: 99%

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A Double Cerclage and Tension band Wiring Technique Fixation for Comminuted Patellar Fractures

Mohammed

2023

KJMS

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 Background: When the patella is fractured it should be repaired and patellectomy should be avoided as much as possible even in comminuted fractures. In comminuted patellar fractures, a combination of cerclage wiring and tension band fixation is confirmed to provide good mechanical stability. The objective of the present work was to find out the effectiveness of comminuted patellar fracture fixation with combined cerclage and tension band wiring technique.  Method and patient: Forty-six patients underwent surgical stabilization for comminuted patellar fracture between year 1996 to 2016. All fractures were classified as 34-C3 according to the Orthopedic Trauma Association Classification. All the patients were underwent open reduction-internal fixation with combined Cerclage and tension band wiring technique. Result: Fracture healing was occurred within an average of 3-5 months, while in bilateral cases it was 4 -8 months. Full range of knee movements was seen in 42 (91.3 %) cases and knee flexion more than 120º was seen in 4 (8.7 %) cases. Quadriceps power was normal in 44 (95.6 %) cases, but 2 cases had quadriceps power of grade-IV. No extensor lag and no quadriceps atrophy were seen in any cases. Forty four (95.6 %) patients could squat fully and two (4.3 %) patients could squat up to half of the normal level. All patients were able to climb up and down stairs without any problem. Most patients have no subjective complaints like pain, difficulty in walking, difficulty in squatting and climbing. The clinical results after operation were evaluated by the clinical KJMS /

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Section: Discussionmentioning

confidence: 99%