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Original Article
- Treatment of Transverse Patellar Fracture with Cannulated Screws
- Jung-Man Kim, M.D., Ju-Seok Yoo, M.D., Yong-Jin Kwon, M.D., Jang-Ok Cheon, M.D.
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Journal of the Korean Fracture Society 2007;20(2):149-153.
DOI: https://doi.org/10.12671/jkfs.2007.20.2.149
Published online: June 14, 2016
Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
*Department of Orthopaedic Surgery, Korean Orthopaedic Clinic, Suwon, Korea.
- Address reprint requests to: Ju-Seok Yoo, M.D. Korean Orthopaedic Clinic, 260-20, Yeonmu-dong, Jangan-gu, Suwon 440-814, Korea. Tel: 82-31-251-7114, Fax: 82-31-251-7703, powerdoctor@korea.com
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Abstract
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Purpose
- To assess the indication and effect of screw fixation in the transverse patellar fractures.
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Materials and Methods
- We analysed the results of 14 transverse patellar fractures fixed with screws from January 1991 to May 2005. Mean follow-up period was 47 months (range, 12~143 months). We analysed the radiologic union, operation time, ROM and postoperative Lysholm score.
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Results
- All fractures healed uneventfully. The mean displacement was decreased from 2.2 mm preoperatively to 0.3 mm postoperatively (p=0.001, Wilcoxon signed rank test). The mean operation time was 34 minutes (range, 20 to 60 minutes). Normal range of motion was achieved in 13 knees (92.9%). Average Lysholm score was 95.9 at final follow-up.
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Conclusion
- Screw fixation seemed to be useful for treatment of transverse patellar fracture even in comminuted fractures with large fragments. The advantage of this technique was the preservation of extensor mechanism, simplicity, short operation time and good cosmesis.
- 1. Benjamin J, Bried J, Dohm M, McMurthy M. Biomechanical evaluation of various forms of fixation of transverse patellar fractures. J Orthop Trauma, 1987;1:219-222.
- 2. Carpenter EJ, Kasman R, Matthews LS. Fractures of the patella. Instr Course Lect, 1994;43:97-108.
- 3. Edwards B, Johnell O, Redlund-Johnell I. Patellar fractures: a 30-year follow-up. Acta Orthop Scand, 1989;60:712-714.
- 4. Ha CW, Sun JL. The treatment of patellar fracture with modified tension band wiring, using cannulated screws. J Korean Fract Soc, 2004;17:117-121.
- 5. Johnson EE. Rockwood and Green's fractures in adults. 4th ed. Philadelphia, New York: Lippincott Raven Pb; 1996. p. 1966-1972.
- 6. Kim DH, Kim JM, Koh IJ. Operative treatment of patellar fractures. J Korean Fract Soc, 2004;17:314-318.
- 7. Lee B, Lee S, Jang Y, Kang K. The operative treatment of patellar fracture using indirect reduction. J Korean Knee Soc, 1998;10:236-242.
- 8. Matejcic A, Smiljanic B, Bekavac-Beslin M, Ledinsky M, Puljiz Z. The basket plate in the osteosynthesis of comminuted fractures of distal pole of the patella. Injury, 2005;37:525-530.
- 9. Muthukumar N, Angus PD. Patellar fracture following surgery for patellar instability. Knee, 2004;11:121-123.
- 10. Tandogan RN, Demirors H, Tuncay CI, Cesur N, Hersekli M. Arthroscopic-assisted percutaneous screw fixation of select patellar fractures. Arthroscopy, 2002;18:156-162.
- 11. Turgut A, Gunal I, Acar S, Seber S, Gokturk E. Arthroscopic-assisted percutaneous stabilization of patellar fractures. Clin Orthop Relat Res, 2001;389:57-61.
- 12. Weber MJ, Janecki CJ, McLeod P, Nelson CL, Thompson JA. Efficacy of various forms of fixation of transverse fracture of the patella. J Bone Joint Surg Am, 1980;62:215-220.
- 13. Whittle AP. Fractures of lower extremity. Campbell's operative orthopaedics. 10th ed. Louis: Mosby; 2003. p. 2796-2804.
- 14. Yanmis I, Oguz E, Atesalp AS, et al. Application of circular external fixator under arthros copic control in comminuted patella fractures: technique and early results. J Trauma, 2006;60:659-663.
REFERENCES
Fig. 1
Definition of separation and displacement. The separation is defined as '(a+b)/2' and the displacement is defined as 'c'.
Fig. 2
(B) Radiographs taken in 3 months after operation show anatomic reduction and complete union.
(A) Preoperative radiographs show the separation and displacement in articular surface of patella.
Figure & Data
REFERENCES
Citations
Citations to this article as recorded by 
- Surgery of patellar fractures using a medial parapatellar approach
Yong-Cheol Yoon, Jae-Ang Sim, Jin-Hun Hong
Journal of Orthopaedic Surgery.2017;[Epub] CrossRef - Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef
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Fig. 1
Definition of separation and displacement. The separation is defined as '(a+b)/2' and the displacement is defined as 'c'.
Fig. 2
(A) Preoperative radiographs show the separation and displacement in articular surface of patella.
(B) Radiographs taken in 3 months after operation show anatomic reduction and complete union.
Fig. 3
Full squatting is possible at final follow-up.
Fig. 1
Fig. 2
Fig. 3
Treatment of Transverse Patellar Fracture with Cannulated Screws
Results of cases
*Pre Sep: Preoperative separation, Pre Dis: Preoperative displacement, Post Sep: Postoperative separation, Post dis: Postoperative displacement, †FF: Further flexion, FC: Flexion contracture, ‡T+C: Transverse fracture with comminution, T-C: Transverse fracture without comminution.
Table 1
Results of cases
*Pre Sep: Preoperative separation, Pre Dis: Preoperative displacement, Post Sep: Postoperative separation, Post dis: Postoperative displacement, †FF: Further flexion, FC: Flexion contracture, ‡T+C: Transverse fracture with comminution, T-C: Transverse fracture without comminution.
