Complete Exposure of the Articular Surface for Fixation of Patellar Fractures
- 1 February 2005
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Orthopaedic Trauma
- Vol. 19 (2), 118-123
- https://doi.org/10.1097/00005131-200502000-00008
Abstract
Anterior tension band fixation constructs are among the mainstay of treatment of patella fractures and lead to reliable results with simple transverse fracture patterns. However, comminuted fractures of the patella require much more extensive articular reconstruction than interdigitating two large fragments to achieve a good result. In this report, we describe a technique for exposure, reduction, and stabilization of patella fractures that allows for direct visual reduction of the articular surface. Subsequent devices are applied directly to the bony surfaces of the patella without soft-tissue interposition, which distinguishes it from traditional approaches. This technique may be used to ensure articular surface congruity in simple transverse fractures and may be particularly useful in comminuted fractures when patellar excision would otherwise be considered.Keywords
This publication has 28 references indexed in Scilit:
- Functional results after patellar fractures in elderly patientsArchives of Gerontology and Geriatrics, 2003
- Extensile Exposure of Comminuted Patella Fractures Using a Tibial Tubercle Osteotomy: Results of a New TechniqueJournal of Orthopaedic Trauma, 1998
- Open Reduction Internal Fixation of Displaced Transverse Patella Fractures with Figure-Eight Wiring Through Parallel Cannulated Compression ScrewsJournal of Orthopaedic Trauma, 1997
- Biomechanical Evaluation of Current Patella Fracture Fixation TechniquesJournal of Orthopaedic Trauma, 1997
- Open Fractures of the PatellaJournal of Orthopaedic Trauma, 1996
- Open Fractures of the PatellaThe Journal of Trauma and Acute Care Surgery, 1995
- Evaluation of Methods of Internal Fixation of Transverse Patella FracturesJournal of Orthopaedic Trauma, 1994
- Internal fixation for fractures of the patella. A comparison of two methodsThe Journal of Bone and Joint Surgery. British volume, 1990
- Biomechanical Evaluation of Various Forms of Fixation of Transverse Patellar FracturesJournal of Orthopaedic Trauma, 1987
- Comminuted displaced fractures of the patellaInjury, 1981