USE OF KRACKOW SUTURES IN PATIENTS WITH LOWER POLE PATELLA FRACTURES:A CLINICAL OUTCOME STUDY

Abstract

Introduction: Patients with distal pole fractures of the patella have a disrupted extensor mechanism, which results in considerable functional disability. The ideal method should comply with three crucial demands: it should aid in reduction of the fracture,provide stable fixation and enable early rehabilitation.In the present study we have observed the functional outcome in lower pole patella fracture managed by krackow sutures by using ICF (International Classification of Functioning disability & health) questionnaire. Material And Methods: It was a clinical outcome observation study carried out in 40 patients of lower pole patella fracture presented in Dept of orthopedics,Dr.PDMMC, Amravati over a period of 1 year from Aug 1, 2021 to July 31, 2022. Patients were assessed functionally by ICF questionnaire.On one and half months,3 months & 6 months of surgery.Results: Post- operative health assessment was done using ICF method where we did the assessment of general mental & emotional health after 6 months of surgery, a total of 66.6 % patients rated their health as good to very good & 79 % patients had mild to moderate impairment because of pain.In terms of functional assessment,68% patients had no to mild impairment in performance & capacity & 31.48% patients had moderate impairment in performance in capacity for washing oneself.None of the patients observed with severe to very severe limitations after the surgery. 70% patients had mild to moderate impairment in performance in capacity & 29% patients had severe impairment in performance in toileting & dressing. Conclusuion: It is concluded that significant change was seen in quality of life of patients post-operatively as evidenced by ICF questionnaire used in present study.