Use of metatarsal hook plates in the treatment of multifragmentary patellar fractures - A case series.

Autor:	Barros EA; Orthopedics and Traumatology Service, Hospital Vozandes Quito and Hospital Metropolitano, Quito - Ecuador., Ballesteros C; Orthopedics and Traumatology Service, Hospital Vozandes Quito and Hospital Metropolitano, Quito - Ecuador., Noboa CE; Orthopedics and Traumatology Service, Hospital Vozandes Quito and Hospital Metropolitano, Quito - Ecuador., Arteaga G; Orthopedics and Traumatology Service, Hospital Vozandes Quito and Hospital Metropolitano, Quito - Ecuador., Peñaherrera C; Postgraduate Course in Orthopedics and Traumatology at the International University of Ecuador, Quito - Ecuador., Endara F; Postgraduate Course in Orthopedics and Traumatology at the International University of Ecuador, Quito - Ecuador., Bravo A; Posgraduate Course in Orthopedics and Traumatology at Universidad de las Americas- Quito- Ecuador., Barros Castro AX; Postgraduate Course in Orthopedics and Traumatology at the International University of Ecuador, Quito - Ecuador.
Jazyk:	angličtina
Zdroj:	Trauma case reports [Trauma Case Rep] 2024 Apr 08; Vol. 51, pp. 101018. Date of Electronic Publication: 2024 Apr 08 (Print Publication: 2024).
DOI:	10.1016/j.tcr.2024.101018
Abstrakt:	The surgical management of patellar fractures typically yielded satisfactory results; however, in situations involving multifragmented patellar fractures or those affecting the inferior pole, it became imperative to employ alternative osteosynthesis techniques that enhanced stability, enabled early rehabilitation initiation, prevented implant failure, and avoided reduction loss before fracture consolidation. In this context, an unconventional osteosynthesis alternative was presented, utilizing an anatomically designed hook plate originally intended for the fifth metatarsal. This technique was successfully applied in three patients with multifragmentary patellar fractures, allowing stable fixation of small or marginal fragments through the plate's hooks without compromising vascularity. Fracture consolidation was achieved without reduction loss, and owing to its low profile, patient discomfort and irritation were minimized compared to traditional tension band or wiring techniques. This approach suggested the potential to forego early plate removal, thereby contributing to a more effective management of patellar fractures. Level of Evidence: IV. Competing Interests: The authors declare no conflict of interest. (© 2024 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu