Partial Patellectomy: A study on functional out come
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Fractures of the patella are one of the common fractures and they constitute almost 1% of all skeletal injuries, resulting from either direct or indirect trauma. Because of the subcutaneous anterior location, the biomechanical function and the high level of force transmission during extension and flexion, stable reconstruction of patellar fractures continues to represent a major surgical challenge. The poor outcomes quantified during the follow up can persist. The study group is of fractures of patella in which comminution of the fragments has been the prime inclusion criterion in 58 cases. The inclusion criterion are fracture patella of any pattern with comminuted fragments, normal pre injury status of the knee joint, normal skin on inspection. The exclusion criterion are compound fracture, associated fractures, pre existing arthritis of the knee. When partial patellectomy is chosen, as much of the patella as possible should be salvaged. Larger pieces can be secured together with interfragmentary screws to increase the size of the patellar remnant.
Authors and Affiliations
Dr. V. V. Narayana Rao, Dr. P. Anil Babu
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