Autor: |
Neetin P Mahajan, Prasanna Kumar GS, Pranay Kondewar, Kishor Jadhav |
Rok vydání: |
2021 |
Zdroj: |
Trauma International. 7:12-14 |
ISSN: |
2455-538X |
DOI: |
10.13107/ti.2021.v07i01.012 |
Popis: |
Introduction: Multi-fragmentary patellar non-union is rare and it causes functional disability in patients. The purpose of studying this case is to present an unusual patella multi-fragmentary non-union and discuss its management. Case presentation: We present a case of a 25-year-old male patient presented with pain and instability and decreased movements of the right knee since last 1 year. The patient had a history of trauma for which he was operated at the local hospital. X-ray and CT scan of the right knee was suggestive of the non-union of the right patella with three main fragments. We managed with open reduction and internal fixation using CC screw, cerclage and tension band wiring. At one-year follow up, the patient is having a clinical and radiological union of non-union with good functional outcome. Conclusion: Combination of cannulated cancellous screw, cerclage and tension band wiring provides stable fixation in the multi-fragmentary patellar non-union, helps in early mobilisation which in turn helps in getting good functional outcome and prevents implant-related complications. Keywords: Non-union; Multi-fragmentary patella; Internal fixation; Fixation failure. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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