Surgical management of neglected fractures of the patella

Uvaraj, Nalli Ramanathan; Vahanan, N. Mayil; Sivaseelam, A.; Sameer, Mohammad; Basha, Ilias

doi:10.1016/j.injury.2007.02.025

Cited by 25 publications

(31 citation statements)

References 9 publications

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“…The most common mechanism of injury for the patella fractures was a fall onto the knee in 24 patients (57.1%), a motor vehicle accident in 15 (35.7%), and a sports injury in three (7.2%) [1,4]. All studies discussed the initial mechanism of injury and fracture pattern in detail.…”

Section: Mechanism Of Injurymentioning

confidence: 99%

“…All of the initial patella fractures were classified based on the anatomical location of the fracture line. There were four (9.5%) upper pole fractures, 25 (59.6%) transverse fractures, three (7.2%) vertical fractures, six (14.2%) comminuted fractures, and four (9.5%) lower pole fractures [1,4]. One study did not clearly describe the patella fracture or the type of initial fracture [3].…”

Section: Mechanism Of Injurymentioning

confidence: 99%

“…Three studies reported that the average time between the injury and presentation ranged from two to 34 months [1,3,4]. The predominant symptoms were weakness and frequent giving-way of the injured knee.…”

Section: Mode Of Presentationmentioning

confidence: 99%

“…The modes of internal fixation included tension band wiring, cerclage wiring, Bunnell wiring, and screw fixation. The predominant modality of internal fixation was a standard tension band wiring, which was used in 25 patients (65.7%) [1,3,4]. None of the patients required a quadricepsplasty for reduction of the fracture fragments.…”

Section: Definitive Treatmentmentioning

confidence: 99%

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The management of nonunion and delayed union of patella fractures: a systematic review of the literature

Nathan

Fisher

Roberts

et al. 2010

International Orthopaedics (SICOT)

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Nonunion and delayed union of patella fractures are rare conditions that are fraught with challenges. There exists limited evidence in the literature to guide the clinician in the management of these complications. Therefore, the purpose of this study was to perform a systematic review of the available evidence on the management of nonunion and delayed union of patella fractures. A total of five publications which met our criteria were identified and formed the basis of this study. The decision making in the treatment of this condition is based on the functional demands of the patient, the factors that led to the development of the nonunion, the potential impact of the biomechanical effects of a total patellectomy, and the presence of an intact extensor mechanism of the knee for a later reconstructive procedure. Patients with low functional demands may be managed with nonoperative methods; however, those who perform heavy physical work or participate in sports usually require open reduction and internal fixation. Tension band wiring is the treatment of choice for patients suitable for a reconstructive procedure. Partial or total patellectomy is also an option for small distal fragments or an inability to satisfactorily perform internal fixation.

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Section: Mechanism Of Injurymentioning

confidence: 99%

Section: Mechanism Of Injurymentioning

confidence: 99%

Section: Mode Of Presentationmentioning

confidence: 99%

Section: Definitive Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

The management of nonunion and delayed union of patella fractures: a systematic review of the literature

Nathan

Fisher

Roberts

et al. 2010

International Orthopaedics (SICOT)

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“…[7] Patella kırıklarında kaynamama, erkeklerde kadınla-ra oranla daha yüksek oranda görülmektedir; ortalama görülme yaşı 38'dir. [10,11] Açık kırıklarda, transvers ve parçalı kırıklarda, kaynamama ve kaynamada gecikme daha sık görülmektedir. En sık görülen kırık mekanizması, diz üzerine düşme şeklinde tarif edilmiştir.…”

Section: Kli̇ni̇k Bulgularunclassified