Treatment of Transverse Patellar Fracture with Cannulated Screws.
10.12671/jkfs.2007.20.2.149
- Author:
Jung Man KIM
1
;
Ju Seok YOO
;
Yong Jin KWON
;
Jang Ok CHEON
Author Information
1. Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Patella;
Transverse fracture;
Screw fixation
- MeSH:
Follow-Up Studies;
Fractures, Comminuted;
Knee;
Patella;
Reference Values
- From:Journal of the Korean Fracture Society
2007;20(2):149-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the indication and effect of screw fixation in the transverse patellar fractures. MATERIALS AND METHODS: We analysed the results of 14 transverse patellar fractures fixed with screws from January 1991 to May 2005. Mean follow-up period was 47 months (range, 12~143 months). We analysed the radiologic union, operation time, ROM and postoperative Lysholm score. RESULTS: All fractures healed uneventfully. The mean displacement was decreased from 2.2 mm preoperatively to 0.3 mm postoperatively (p=0.001, Wilcoxon signed rank test). The mean operation time was 34 minutes (range, 20 to 60 minutes). Normal range of motion was achieved in 13 knees (92.9%). Average Lysholm score was 95.9 at final follow-up. CONCLUSION: Screw fixation seemed to be useful for treatment of transverse patellar fracture even in comminuted fractures with large fragments. The advantage of this technique was the preservation of extensor mechanism, simplicity, short operation time and good cosmesis.
