Functional Outcome of “Reconstruction Patellar Plate” in the treatment of patella fractures

Abstract

Background: The patellar fractures treatment has changed by enhancements in both an improved understanding of patellar function and fracture fixation techniques. The goals of operative fixation include repair of extensor mechanism, restoration of articular congruity, secure fixation and early movements. In this Study Reconstruction patellar plate was introduced in the management of patellar fracture. Aim: To determine the Functional outcome of fixation method of patella fractures by Open Reduction and Internal Fixation with Reconstruction Patellar Plate. Methods: This Prospective study was performed at Department of Orthopaedic Surgery at Lahore General Hospital for a period of 12 months after the approval Research Board of University of health Sciences, Lahore. Non probability purposive sampling method was used to induct 30 patients (who met the inclusive Criteria) underwent reconstruction patellar plate for the treatment of patella fracture. The patients were followed in outpatient department at 4 weeks and 16 weeks. Variables mentioned in Modified Hospital for Special Surgery Knee Score were recorded and Knee score was calculated and graded at 16 weeks. Results: In this study, overall mean age was 25.26 ± 5.02 years. There were 19 (63%) male and 11 (37%) female subjects. The mean of Modified Hospital for Special Surgery Knee Score (MHSSKS) was 84.90±8.87. In this study, there were 12(40%) patients with excellent functional outcome, 14 (46.67%) patients with good functional outcome and 4(13.34%) patients with fair functional outcome. There was no patient with poor functional outcome. Conclusion: Reconstruction Patellar Plate fixation method of patella fractures by Open Reduction and Internal Fixation produced good Functional outcome, which can be familiarized as an alternate to tension band method for the treatment of transverse patellar fracture. Keywords: fracture, patellar, reconstruction patellar plate, tension Band wiring