Operative Treatment of Patellar Fractures.
10.12671/jkfs.2004.17.4.314
- Author:
Dong Hui KIM
1
;
Jung Man KIM
;
In Jun KOH
Author Information
1. Department of Orthopedic Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea. osjmk@korea.com
- Publication Type:Original Article
- Keywords:
Patella;
Fracture;
Internal fixation technique;
Rehabilitation
- MeSH:
Immobilization;
Knee Joint;
Patella;
Range of Motion, Articular;
Rehabilitation;
Retrospective Studies
- From:Journal of the Korean Fracture Society
2004;17(4):314-318
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To establish a general guide line in the treatment of the patellar fracture MATERIALS AND METHODS: Twenty three patellar fractures followed for 2.2 years in average, treated with internal fixation were evaluated retrospectively. The primary fixations were the metal screw fixation in 7, the Dall-Miles' cable circumferential fixation in 14 and combination of both methods in 2 cases. The additional fixations were the tension band wiring in 9, the load sharing cable fixation in 3 and combination of both methods in 5 cases. The initial postoperative immobilazation of the knee joint in flexion, preferably 90degrees, for 7 days was effective to gain full range of motion RESULTS: Complete union without displacement was achieved in all cases. Full ROM was achieved in all cases except one. CONCLUSION: The choice of internal fixation need to be individualized according to the level of comminution, bone strength, fracture site and soft tissue damage. A strong internal fixation, initial immobilization in flexion followed by early ROM exercise were important factors to gain good result.
