Modified pre-curved patellar basket plate, reconstruction of the proper length and position of the patellar ligament—A biomechanical analysis

Krkovič, Matija; Bombač, David; Balazic, M.; Kosel, F.; Hribernik, Marija; Senekovič, Vladimir; Brojan, Miha

doi:10.1016/j.knee.2007.03.004

Cited by 17 publications

(20 citation statements)

References 11 publications

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“…10 Excision of the lower pole of the patella with repair results in tendon to bone healing which requires prolonged immobilization and may result in patellar baja. Patients with patellar baja may have substantially more problems than patients with normal knee 11 .From study of literature and our surgical experience we know that good functional results depend on our ability to achieve early pain free motion and restoration of normal anatomy. 2,6,11,12 Cannulated cancellous screw fixation augmented by tension band wiring restores normal anatomy and allows early range of motion.…”

Section: Resultsmentioning

confidence: 99%

“…Patients with patellar baja may have substantially more problems than patients with normal knee 11 .From study of literature and our surgical experience we know that good functional results depend on our ability to achieve early pain free motion and restoration of normal anatomy. 2,6,11,12 Cannulated cancellous screw fixation augmented by tension band wiring restores normal anatomy and allows early range of motion. The consistent excellent and good results in our series show that this technique is an excellent modality in the treatment of lower pole patellar fractures.…”

Section: Resultsmentioning

confidence: 99%

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LOWER POLE PATELLA FRACTURE: A COMBINATION OF CANCELLOUS SCREW FIXATION AND TENSION BAND WIRING Date : 30-07-2014

Veeranna¹,

Chaitanya²,

Raveendran³

2014

jemds

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ABSTRACT:The fracture of the lower pole of the patella is a common type of fracture of the patella. The treatment involves internal fixation or excision of the lower fragment. This study was undertaken to study the efficacy of cancellous screw fixation combined with tension band wiring in the treatment of these fractures. Twenty patients with lower pole patellar fractures were treated by this technique and evaluated by Gaur's criteria for knee evaluation. Excellent good results were noted in 19 cases and fair result in one case. There were no poor results and there were no major complications hence it was concluded that cancellous screw fixation combined with tension band wiring is a good method for treating lower pole patellar fractures. KEYWORDS: Distal Pole Patella, Fracture, Cancellous Screw, Encerclage. INTRODUCTION:Fracture of the patella constitutes almost 1% of all skeletal injury 1 and fracture of the lower pole of the patella is a commonly encountered type of fracture patella. The fracture patella occurs as a result of direct or indirect force. 2, 3 It is twice as common in men as women. 2 Fracture of the lower pole is commonly an avulsion injury as a result of violent contraction of the quadriceps muscle or as a result of subluxation or dislocation of patella 4 especially as a sports injury occurring in young individuals. Hence there is more likelihood of extensive retinacular tear. 2 This retinacular tear precludes conservative treatment and operative treatment is the mainstay of lower pole patellar fractures.Various treatment modalities have been advocated for fracture of the lower pole of patella including Magnusson wiring, cancellous screw fixation, tension band wiring, cerclage wiring, fixation of the lower pole augmented by a patellotibial SS wire loop, basket plate fixation and excision of the lower pole of the patella. [1][2][3][5][6][7][8] However in spite of having these myriad of options for treatment there is no consensus about the treatment of choice for these fractures. Some surgeons prefer excision of the lower pole with fixation of the patellar tendon to the upper fragment by non-absorbable sutures and others swear by internal fixation as the better method of treatment 5 . This study was undertaken to evaluate the efficacy of cancellous screw fixation augmented by tension band wiring in fractures of lower pole of patella.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

LOWER POLE PATELLA FRACTURE: A COMBINATION OF CANCELLOUS SCREW FIXATION AND TENSION BAND WIRING Date : 30-07-2014

Veeranna¹,

Chaitanya²,

Raveendran³

2014

jemds

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“…Conversely, less rigid implant allows for implant failure before damage to bone or tendon; therefore, making re-osteosynthesis practicable. [7] Separate vertical wiring technique has been used for fixation of the lower patellar pole. However, first reports were that technique was not suitable for comminuted fractures in which some bundles of the patellar tendon were separated from bony attachments.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, they suggested placement of screws outside insertion of the patellar tendon. [7] To our knowledge, this modification has not yet been tested clinically. Kastelec and Veselko used absorbable interwoven sutures through the patellar tendon to avoid slippage of fragment between the hooks that push fibers of the patellar tendon apart.…”

Section: Discussionmentioning

confidence: 99%

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Repair of the comminuted fracture of the lower patellar pole

Massoud¹

2016

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Comminuted fracture of the lower patellar pole has characteristics of both patellar fracture and avulsion of the patellar tendon. Therefore, components of both injury types should be considered during treatment. None of the traditional techniques has proven sufficient alone. Currently described is technique that incorporates principles of osteosynthesis as well as repair of the patellar tendon.

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