E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures

Konchada Srikant, Debasish Mishra, Vijoy Kumar Sinha, Sandeep Pradhan.

Abstract
Background: Lower pole patella fractures are not uncommon and are often comminuted and not amenable to traditional fixation methods as difficult to reduce and fix. Optimal method of treatment is still debatable. We present the results of managing such cases with the technique of partial patellectomy and patellar tendon repair by transosseous sutures.

Objective: To evaluate the outcome of comminuted inferior pole fractures of patella treated with partial patellectomy and patellar tendon repair by transosseous sutures.

Materials and Methods: In this prospective study between February 2014 and July 2016, we treated 12 patients, 10 were male and 2 were female. Postoperatively, knee was immobilized in knee brace with no flexion in 1st week; every next week then knee flexion was increased in the increments of 30 degree till 4 weeks postoperative. Quadriceps strengthening was then encouraged.

Results: Outcome at final follow-up was assessed with Bostman scoring system. Average Bostman score was 25.6. Excellent results were seen in 67% cases. One patient had an episode of superficial infection. There were no reports of rerupture and all patients returned to their preinjury activity level.

Conclusion: Partial patellectomy and patellar tendon repair using transosseus sutures is very effective method in the management of comminuted extraarticular inferior pole patella fractures which are not normally amenable to conventional fixation methods. It is simple and easier to perform with producible excellent results with no hardware related complications. Further studies are required to validate this technique with larger sample size and controls.

Key words: Inferior Pole Patella; Comminuted; Transosseous; Partial Patellectomy; Patellar Tendon


 
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Pubmed Style

Srikant K, Mishra D, Sinha VK, Pradhan S. Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. Int J Med Sci Public Health. 2017; 6(11): 1578-1583. doi:10.5455/ijmsph.2017.0925311092017


Web Style

Srikant K, Mishra D, Sinha VK, Pradhan S. Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. http://www.ijmsph.com/?mno=277108 [Access: July 18, 2018]. doi:10.5455/ijmsph.2017.0925311092017


AMA (American Medical Association) Style

Srikant K, Mishra D, Sinha VK, Pradhan S. Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. Int J Med Sci Public Health. 2017; 6(11): 1578-1583. doi:10.5455/ijmsph.2017.0925311092017



Vancouver/ICMJE Style

Srikant K, Mishra D, Sinha VK, Pradhan S. Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. Int J Med Sci Public Health. (2017), [cited July 18, 2018]; 6(11): 1578-1583. doi:10.5455/ijmsph.2017.0925311092017



Harvard Style

Srikant, K., Mishra, D., Sinha, V. K. & Pradhan, S. (2017) Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. Int J Med Sci Public Health, 6 (11), 1578-1583. doi:10.5455/ijmsph.2017.0925311092017



Turabian Style

Srikant, Konchada, Debasish Mishra, Vijoy Kumar Sinha, and Sandeep Pradhan. 2017. Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. International Journal of Medical Science and Public Health, 6 (11), 1578-1583. doi:10.5455/ijmsph.2017.0925311092017



Chicago Style

Srikant, Konchada, Debasish Mishra, Vijoy Kumar Sinha, and Sandeep Pradhan. "Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures." International Journal of Medical Science and Public Health 6 (2017), 1578-1583. doi:10.5455/ijmsph.2017.0925311092017



MLA (The Modern Language Association) Style

Srikant, Konchada, Debasish Mishra, Vijoy Kumar Sinha, and Sandeep Pradhan. "Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures." International Journal of Medical Science and Public Health 6.11 (2017), 1578-1583. Print. doi:10.5455/ijmsph.2017.0925311092017



APA (American Psychological Association) Style

Srikant, K., Mishra, D., Sinha, V. K. & Pradhan, S. (2017) Management of comminuted extraarticular inferior pole patella fractures with partial patellectomy and patellar tendon repair by transosseous sutures. International Journal of Medical Science and Public Health, 6 (11), 1578-1583. doi:10.5455/ijmsph.2017.0925311092017





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