AI Article Synopsis
- A 22-year-old man suffered a comminuted patellar fracture after a traffic accident, which made it difficult to repair due to the complexity of the fracture.
- The treatment involved using multiple 3D-printed guide plates to assist in the reduction and fixation of the fracture.
- Over a 2-year follow-up, the patient experienced good recovery without significant limitations in knee function, highlighting the effectiveness of this innovative technique in surgical treatment.
Article Abstract
Because of the lack of anatomical landmarks during reduction of multiple articular surfaces and fragments in comminuted patellar fractures, loss of bone fragments or aggravation of soft tissue and ligament injuries readily occurs. In the present case, we used multiple three-dimensional (3D)-printed guide plates to reduce and fix a comminuted patellar fracture. A 22-year-old man was hospitalized for 2 days because of left knee joint pain and limited movement caused by a traffic accident. Preoperative imaging revealed a comminuted fracture of the left patella (type 34-C3 according to the AO/OTA classification). Throughout a 2-year follow-up, the patient remained in generally good condition with no significant limitation of his left knee joint activity. Application of multiple 3D-printed guide plates is a safe and effective auxiliary technique for the treatment of comminuted patellar fractures. This novel technique can shorten the operation time, reduce the number of fluoroscopic procedures, and ensure fracture healing and recovery of knee joint function through reliable reduction of the articular surface.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673058 | PMC |
| http://dx.doi.org/10.1177/0300060520972088 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Morphological Characteristics of Inferior Pole Patellar Fractures and a Finite-Element Analysis Combined With a Retrospective Clinical Study of Anchor Suture and Titanium Cable Cerclage Treatment.
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.
A comparative study on the efficacy of kirschner wire tension band combined with anchor cross-suture internal fixation versus partial patellectomy in the treatment of comminuted inferior pole patellar fractures.
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.
Revisiting Tension Band Principle Using Fiber Tape in Patella Fractures in Terms of Functional Outcomes, Complications, and Resurgery.
J Orthop Case Rep
January 2025
Department of Orthopaedic Surgery, Dr. D Y Patil Hospital, Nerul, Navi Mumbai, Maharashtra, India.
Introduction: Post-operative complications related to hardware, particularly symptoms caused by it, such as implant impingement, wire breakage, and skin infection are frequently reported following surgical management of patellar fractures with stainless steel wires. As a potential solution, some researchers have advocated for the use of non-absorbable sutures for fracture fixation. This study aims to investigate the clinical and radiological outcomes of patients treated with fiber taping as an alternative technique.
View Article and Find Full Text PDFSuture Augmentation of Internal Fixation for Highly Comminuted Patella Fractures.
J Surg Orthop Adv
December 2024
SUNY Upstate Medical University, Syracuse, New York.
Treatment of comminuted patella fractures is challenging. Augmentation of internal fixation has been proposed to improve stability. The authors describe an effective technique to augment internal fixation consisting of locked sutures within the quadriceps and patellar tendons.
View Article and Find Full Text PDFA Retrospective Review of Revision and Re-revision Patella Osteosynthesis Performed for Failure of Fixation of Initial Comminuted Fracture Patterns: Very High Complication Rates.
J Knee Surg
November 2024
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
Literature on revision osteosynthesis for failed patella fracture fixation is extremely limited. This study reviews the treatment options and outcomes for revision and re-revision osteosynthesis at a Level 1 trauma center. All patella revision osteosynthesis cases between January 2021 and March 2024 were identified using Current Procedural Terminology codes at a single tertiary care academic center.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!