Arthroscopic-assisted percutaneous screw fixation of select patellar fractures

Tandoğan, Reha N.; Demirörs, Hüseyin; Tuncay, Cengiz; Cesur, Necip; Hersekli, Murat Ali

doi:10.1053/jars.2002.30486

Cited by 68 publications

(63 citation statements)

References 10 publications

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“…6 In 107 patients with patellar fractures undergoing percutaneous suture, Arthroscopic-assisted fixation has achieved excellent results in patients with minor displaced patellar fractures. [8][9][10][11] In a randomised controlled trial comparing percutaneous with open surgery in patients with major separation of patellar fragments (associated with disruption of the quadriceps mechanism), 12 percutaneous surgery required shorter operating time and achieved less pain and better knee function.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Tension Band Wiring for Patellar Fractures

Rathi

Swamy

Prasantha

et al. 2012

J Orthop Surg (Hong Kong)

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purpose. To evaluate outcome of percutaneous tension band wiring for transverse fractures of the patella. Methods. 16 men and 7 women aged 27 to 65 (mean, 40) years underwent percutaneous tension band wiring for transverse fractures of the patella with a displacement of >3 mm. Pain, operating time, mobility, functional score, and complications were evaluated. results. 20 patients underwent successful percutaneous tension band wiring. The remaining 3 patients in whom closed reduction failed underwent open reduction and tension band wiring. The mean operating time was 46 (range, 28-62) minutes. The mean follow-up period was 20 (range, 15-30) months. At the latest follow-up, all patients had regained full extension. The objective score was excellent in 20 patients and good in 3, whereas the subjective score was excellent in 17, good in 5, and fair in one. All patients had radiological union at week 8. One 2012;20(2):166-9 patient had patellofemoral arthritis (secondary to a postoperative articular step). Two patients developed superficial infections, which resolved after antibiotic therapy. Mean thigh muscle wasting was 0.7 (range, 0.4-1) cm. Three patients encountered hardware problems (impingement/irritation of the skin over the knee) necessitating implant removal. conclusion. Percutaneous tension band wiring is a viable option for transverse fractures of the patella. Journal of Orthopaedic Surgery

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Section: Discussionmentioning

confidence: 99%

Percutaneous Tension Band Wiring for Patellar Fractures

Rathi

Swamy

Prasantha

et al. 2012

J Orthop Surg (Hong Kong)

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“…It is more common in men than women (3,4). The transverse type is more frequent (50%-80%) followed by comminuted (30%-35%) and vertical (12%-17%) (2,3).…”

Section: Discussionmentioning

confidence: 99%

Open vertical sagittal fracture patella with fracture lateral condyle femur: approach to a rare injury

Arora

Madaan

2017

J Emerg Pract Trauma

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“…There is universal agreement that early joint motion after the treatment of patellar fractures requires a stable internal fixation either by arthroscopy-assisted or open surgery [1,2,10].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic inspection after the surgical treatment of patella fractures

Haklar

Kocaoğlu

Gereli

et al. 2008

International Orthopaedics (SICOT)

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After the treatment of patella fractures the only way to evaluate healing at the articular surface before implant removal is through arthroscopy. The purpose of this study was to examine the healing potential of the cartilage. Arthroscopy was performed in 18 patients at the time of implant removal. The mean age of the patients was 42.1 years. The time elapsed from the index surgery to the arthroscopy and implant removal surgery was 12.9 months. During the arthroscopy, we inspected articular step-off, cartilage loss, and joint surface irregularities. Cartilage irregularities were observed in 13 of the 18 patients. Five patients had well-healed cartilage at the patellar surface. Although none of the patients had displacement at final follow-up X-rays, step-off was detected in two patients during arthroscopy. Our observation showed that cartilage lesions did not correlate with clinical and radiological evaluation. Despite good knee scores, we observed surface irregularities, chondral lesions, and fibrillation in most of the cases implicating subsequent patellofemoral arthritis.

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Arthroscopic-assisted percutaneous screw fixation of select patellar fractures

Cited by 68 publications

References 10 publications

Percutaneous Tension Band Wiring for Patellar Fractures

Percutaneous Tension Band Wiring for Patellar Fractures

Open vertical sagittal fracture patella with fracture lateral condyle femur: approach to a rare injury

Arthroscopic inspection after the surgical treatment of patella fractures

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