Affiliation:
1. District Hospital, Chitradurga, Karnataka, India
Abstract
Fractures of the patella contribute almost 1% of all skeletal injuries. We report a case of an 8 cms gap non-union patella fracture in a patient and single staged surgery with functional outcome. A 45 year female patient came with complaints of instability and defect in his right knee since 3 years. On examination we found that gap nonunion of fracture patella. Patellar fracture was approached by anterior approach. V-Y quadriceps-plasty was done to mobilize the proximal fragment. Fracture was fixed with tension band wiring fixation with k- wires. Quadriceps and retinaculum were repaired. Postoperatively physiotherapy was started and follow up of patient was done at 6 weeks, 3 months and 6 months. Improvement of knee range of movement was noticed in follow-up period. V-Yquadriceps-plasty with TBW and encirclage gives good functional outcome in gap non-union patella fractures.
Publisher
IP Innovative Publication Pvt Ltd
Reference10 articles.
1. Satku K, Kumar VP, Surgical management of non-union of neglected fractures of the patela.Injury 1991;22(2):108-10
2. Tripathi S K, Pant A, Agarwal N K, Kumar S, Krishna V, Two staged surgery for gap non-union of patella fracture: A good alternative.Ann Int Med Dent Res 2016;2:1-3
3. Klassen JF, Trousdale RT, Treatment of delayed and nonunion of the patella.J Orthop Trauma 1997;11(3):188-94
4. Harna B, Gupta P, Singh J, Rousa S, Gupta A, Surgical management of non-union patella fracture: A case series and review of the literature.Arch Bone Jt Surg 2021;9(5):554-8
5. Mahajan NP, Kumar GS, Kondewar P, Jadhav K Multi-fragment patellar non-union in a young patient due to failed fixation and its management- a rare case report.Trauma Int 2021;7(1):12-4