Adjunct neutralization plating in patella fracture fixation: a technical trick

Abstract

Patella fracture outcomes are positive overall; however, in some cases, traditional fixation methods result in complications, including loss of fixation and irritable hardware requiring removal. We present a technique of plate fixation that we believe has the potential to improve stability and is less offensive in more comminuted fracture patterns. Improved stability should allow unfettered advancement of rehabilitation without concern for loss of fixation. Lower profile fixation offers a potential for diminishing the presence of irritating hardware requiring removal. We present our technique for using plate fixation to augment more complex patella fracture patterns.

Use of metatarsal hook plates in the treatment of multifragmentary patellar fractures - A case series

“…In terms of surgical treatment, various osteosynthesis options had been described, such as conventional [ [13] , [14] , [15] ], or modified tension band wiring, the use of circular wire [ 16 ], high-strength sutures [ 17 ], cannulated screws with tension band for simple fractures [ 18 , 19 ], and plates with various designs for multifragmentary fractures (basket type [ 5 , 20 ], locking plate [ 10 , 21 , 22 ], hook plate [ 23 , 24 ], hook plate plus wiring [ 22 ], mesh plate [ 25 ]). These methods should allow fracture consolidation within a period of 8 to 12 weeks, during which the patella underwent approximately 100,000 cycles of flexion and extension, imposing a high demand on any treatment approach [ 11 , 26 ].…”

Adjunct neutralization plating in patella fracture fixation: a technical trick—Erratum

“…The article “Adjunct neutralization plating in patella fracture fixation: a technical trick,” by D'Ambrosio et al, published as e217 in OTA International on October 13, 2022, 1 originally published with a misspelling in the author byline. The name of co-author Ahmed M. Thabet has now been corrected on the website, replacing the original, incorrect published version of “Ahmed T. Hagag.”…”