Efficacy of Accessory Facet Views in the Detection of Occult Patellar Malreduction: A Biomechanical Analysis.

J Long Term Eff Med Implants

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Published: August 2022

AI Article Synopsis

  • A simulated fracture model was created to assess how well medial and lateral patellar facet views can detect displacement in patellar fractures.
  • The study involved ten patients, with transverse fractures simulated and distal fragment movements evaluated in specific increments (1 mm for translation, 5 mm for rotation).
  • Results showed that medial and lateral facet views significantly enhance the detection of hidden issues with the articular surface compared to just using the true lateral view.

Article Abstract

A simulated fracture model was used to determine the ability of the medial and lateral patellar facet views in detecting magnitudes of articular displacement. Transverse patellar fractures were simulated in ten patients. Medial and lateral translation of the distal fragment were evaluated in 1 mm increments and rotational malalignment along the longitudinal axis of the patella was evaluated in 5 mm increments. In comparison to the true lateral view, the utilization of the medial and lateral patellar facet views considerably improves detection of occult articular surface malreduction.

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Source
http://dx.doi.org/10.1615/JLongTermEffMedImplants.2022041343DOI Listing

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