J Korean Fract Soc.  2004 Oct;17(4):314-318. 10.12671/jkfs.2004.17.4.314.

Operative Treatment of Patellar Fractures

• Kim DH
• Kim JM
• Koh IJ

• KMID: 2015365
• DOI: http://doi.org/10.12671/jkfs.2004.17.4.314

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.

Keyword

Patella; Fracture; Internal fixation technique; Rehabilitation

MeSH Terms

Immobilization
Knee Joint
Patella
Range of Motion, Articular
Rehabilitation
Retrospective Studies