Surgical Management of Patellar Fractures
| Autor: | Rafael Kakazu, Michael T. Archdeacon |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Total patellectomy medicine.medical_specialty medicine.medical_treatment Knee extension 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal Fractures Bone 0302 clinical medicine medicine Internal fixation Humans Orthopedics and Sports Medicine 030212 general & internal medicine Fractures Comminuted Postoperative Care 030222 orthopedics Wound Healing business.industry Treatment options Extensor mechanism Partial patellectomy Patella musculoskeletal system medicine.disease Surgery Radiography Treatment Outcome Patella fracture business |
| Zdroj: | The Orthopedic clinics of North America. 47(1) |
| ISSN: | 1558-1373 |
| Popis: | The patella plays a crucial role in the extensor mechanism to increase the mechanical advantage of the quadriceps. Fractures can be classified based on displacement, comminution, and fracture pattern, which often guide treatment. Modern treatment options include internal fixation using tension bands with Kirschner wires or cannulated screws, lag screw fixation, partial patellectomy, and rarely total patellectomy. Nondisplaced, closed patellar fractures or fractures with less than 2-mm articular steps can be successfully treated conservatively. Open fractures, articular step of 2 mm or greater, and loss of knee extension are indications for surgical intervention. |
| Databáze: | OpenAIRE |
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