Case: Fractures in patients with osteopetrosis pose unique technical challenges to the orthopaedic surgeon. We present a case of a 43-year-old man with osteopetrosis who underwent tension band wiring of a patella fracture. The intraoperative appearance of osteopetrotic bone, technical difficulties in passing wires through dense bone, and how this was overcome are presented.
Conclusions: A simple transverse fracture of the patella in a patient with osteopetrosis can be fixed successfully using a standard tension band construct.
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http://dx.doi.org/10.2106/JBJS.CC.19.00474 | DOI Listing |
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
January 2025
Department of Joint and Bone Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu Anhui, 241000, P. R. China.
Objective: To explore the feasibility and effectiveness of suture anchor double-pulley technique combined with suture three-dimensional binding via bone tunnel technique for avulsion fractures of the inferior pole of the patella.
Methods: A clinical data of 38 patients with avulsion fractures of the inferior pole of the patella, who met the selective criteria and were admitted between September 2021 and April 2023, was retrospectively analyzed. The fractures were treated with suture anchor double-pulley technique combined with suture three-dimensional binding via bone tunnel technique in 18 cases (group A) and steel wire tension-band fixation in 20 cases (group B).
Orthop Surg
January 2025
Department of Orthopedics Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Objective: Inferior pole patellar fractures (IPPFs) pose a significant challenge due to their complex fracture patterns and high risk of complications associated with current treatment methods. This study aims to (1) characterize the fracture patterns of IPPFs using fracture mapping and (2) compare the biomechanical stability and clinical outcomes of treatment with anchor suture with patellar cerclage versus Kirschner-wire tension band combined with patellar cerclage.
Methods: (1) A retrospective analysis was conducted on 61 patients with IPPF.
BMC Musculoskelet Disord
January 2025
Department of Orthopedic Surgery, The Second Hospital Affiliated to Shenyang Medical College, Shenyang City, Liaoning Province, China.
Objective: The treatment of comminuted inferior pole patellar fractures has long posed a challenge for orthopedic surgeons. This study aims to compare the biomechanical stability and clinical efficacy of Kirschner wire tension band combined with anchor cross-suture fixation versus traditional partial patellectomy in the treatment of comminuted inferior pole patellar fractures.
Methods: A retrospective analysis was conducted on 14 patients who underwent Kirschner wire tension band combined with anchor cross-suture fixation (Group A) in our department of orthopedics from September 2020 to April 2022.
Int J Surg Case Rep
January 2025
Janaki Medical College and Teaching Hospital, Janakpur, Nepal.
Introduction: Patellar sleeve fracture is a rare fracture common in children between the age of 8 and 16 years but rare in adults. We report a case of 22 year old male with inferior patellar sleeve fracture following motorbike accident.
Case Presentation: The case study presents a twenty-two year old boy who sustained inferior patellar Sleeve fractures following motor bike accident.
J Clin Orthop Trauma
February 2025
Joints and Spine Clinic, Mahavir Nagar, Kandivali West, Mumbai, 400067, India.
Introduction: Numerous orthopaedic procedures including dynamic hip screw plating and various osteotomies require placement of a reference guide pin or K wire to direct bone cuts or for drilling screw holes. Appropriate positioning of these wires is a critical component of surgery. Irrespective of whether one is a seasoned surgeon or an apprentice, these wires often need repositioning and readjustment.
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