Two Staged Surgery for Gap Non-Union of Patella Fracture: A Good Alternative

Abstract

Gap Nonunion of patella fractures are rare conditions whose treatment is challenging for surgeons. Strict protocol for such fracture gap nonunion of patella is not well documented in the literature. The decision in treatment of these conditions is based on many factors such as functional demands of the patient, factors leading to nonunion, and presence of an intact extensor mechanism of the knee. We present a case of neglected gap nonunion of a transverse fracture of patella treated at 5 months after injury with a two stage reconstruction procedure.

Patella kırıklarında kaynamama ve gecikmiş kaynama konusunda güncel literatürün değerlendirilmesi –güncel tedavi yaklaşımları

“…[6] İkincisinde ise kuadriseps kasındaki kontraktür ve kırık hattındaki ayrışmaya ilk önce eksternal fiksatör ile supra ve infrapatellar böl-gelerden tedrici kompresyon yapılır; sonrası cerrahi tespittir (Şekil 1). [17] Patella kırıklarında kaynamama ve gecikmiş kaynama nadir görülür. Kaynamamada, kırık tipi, yaş, cinsiyet ve yetersiz tespit önemli rol oynar.…”

Gap non-union of fracture patella: Case report

“…Incidence of these cases ranges between 2.7 and 12.5%. 2,3 Delayed presentation of displaced transverse fracture of patella is commonly seen. Soft tissues contractures at quadriceps, retinaculum, and internal ligaments of the knee joint are commonly associated.…”