Internal fixation of patellar apex fractures with the basket plate: 25 years of experience

Adult native knee extensor mechanism ruptures

“…In an attempt to preserve the distal pole, a basket plate enabling osteosynthesis was first introduced in 1988 in Croatia [25]. Although variations of the original plate have since been introduced, the basic design is that of a shaped plate to fit the geometry of the patella, which has a number of hooks and cancellous bone screw holes [25].…”

“…In an attempt to preserve the distal pole, a basket plate enabling osteosynthesis was first introduced in 1988 in Croatia [25]. Although variations of the original plate have since been introduced, the basic design is that of a shaped plate to fit the geometry of the patella, which has a number of hooks and cancellous bone screw holes [25]. Results from the use of this implant were reported in 1996 [26] in a series of two patients and subsequently again in 2004 [27], demonstrating superior outcomes by preserving the inferior pole and preventing patella baja.…”

“…Results from the use of this implant were reported in 1996 [26] in a series of two patients and subsequently again in 2004 [27], demonstrating superior outcomes by preserving the inferior pole and preventing patella baja. The largest series was published in 2015 with 142 patients included and the authors reported mostly excellent and good functional outcomes as per the modified Cincinnati knee rating system [25].…”

A study of functional and clinical outcome for augmentation plating with tension band wiring for complex patella fractures

“…The primary disadvantage is the repetitive motion can lead to failure of reduction and rupture of the wire if there is too much tensioning and implant back out causing pain and upwards migrations of the wire irritating the quadriceps bulk or impinging on the patellar tendon thus causing delayed recovery and poor function leading to a requirement of another procedure. TBW still serves as a widely used and accepted method for treating fracture patella; hence we use a technique where we improve the fixation by adding a small fragment plate [5][6][7][8][9][10][11][12][19][20][21] . Our technique is doing a tension band wiring with augmentation plate, we use a low profile plate system with TBW to fix the comminuted fracture which do not give a satisfactory result using only TBW.…”

“…Third, using the multidirectional screws and as the plate is sitting on the anterior (convex) surface of patella it can take care of the fracture in the coronal and oblique plane [10] . Fourth, as the contact surface is levelled and also the small plate can be bent to sit on the rim it can bring about compression and maintain articular congruity [20] . Fifth, simple technique and less skill demanding.…”