AI Article Synopsis

  • Non-union patella fractures are uncommon but typically need surgery for better results, as conservative treatment can lead to poor healing and knee function.
  • A case study highlights a 10-month-old neglected displaced patella fracture successfully treated with extensor mechanism repair and bone grafting, resulting in improved knee function over 12 months.
  • The study concludes that stable fixation combined with bone grafting and quadriceps release promotes effective healing and good knee function.

Article Abstract

Introduction: Non-union patella is rarely seen in everyday outpatient department. Displaced patella fractures usually require surgical treatment for optimum results. The proximal fragment is retracted by the pool of quadriceps muscle. Conservatively managed displaced patella fractures lead to nonunion and impaired knee function.

Case Report: In our study, a 10-month-old neglected displaced patella fracture with impaired knee function was treated with extensor mechanism repair augmented with bone graft. A good functional outcome was observed at the end of 12 months. A good knee range of motion from full extension to 110° was observed.

Conclusion: We conclude that a stable fixation augmented with bone grafting and quadriceps release which augments bone healing gives good functional outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458231PMC
http://dx.doi.org/10.13107/jocr.2024.v14.i10.4810DOI Listing

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