Patellafraktur View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-06

AUTHORS

Sven-Oliver Dietz, Martin-Henri Hessmann, Erol Gercek, Pol-Maria Rommens

ABSTRACT

ObjectiveReconstruction of the extensor apparatus of the knee joint. Open reduction and stable internal fixation of patella fractures. Exact reconstruction of the articular surface of the patellofemoral joint.IndicationsOpen and closed fractures.Fractures with an intraarticular incongruity (> 2 mm).Incapability of extension of the knee also in nondisplaced fractures of the patella.In the context of internal fixations of additional periarticular fractures of the knee joint.ContraindicationsCompromised general health status or associated injuries. Compromised local soft-tissue situation (contamination, poor soft-tissue cover).Relative: nondisplaced transverse fractures (no displacement in 40° of flexion).Relative: nondisplaced longitudinal fractures3.Relative: nondisplaced radiating fractures3.Relative: nondisplaced fractures of the distal pole without involvement of the joint surface and intact extensor apparatus3.Surgical TechniqueLongitudinal parapatellar incision. Tension band wiring. Lag screw osteosynthesis. Combination of tension band wiring and lag screws. Patellectomy (partial/complete).Postoperative ManagementThrombosis prophylaxis. Early physiotherapy. Knee brace.Results70% good to excellent results. 30% chronic pain and posttraumatic arthritis. Loss of motion (limited extension). More... »

PAGES

206-220

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00064-009-1708-5

DOI

http://dx.doi.org/10.1007/s00064-009-1708-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034679232

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19685229


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