| Autor: |
Annalisa Itro, Annalisa De Cicco, Gianluca Conza, Luca Schiavo, Niccolò Garofalo, Adriano Braile, Francesco Nappi, Giuseppe Toro |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Surgical Techniques Development, Vol 13, Iss 2, Pp 227-236 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2038-9582 |
| DOI: |
10.3390/std13020015 |
| Popis: |
Patellar fractures represent approximately 1% of all fractures and the pattern is influenced by the quality of the bone and the energy of the trauma. Transverse fractures are associated with extensor mechanism failure and interruption of joint congruence. Patellar fractures are generally fixed using tension band principles, through K-wires and metal cerclage. The tension band was conceived to transform the considerable tensile force applied to the patella into a compressive one to obtain a stable fixation. The use of metal implants might be associated with a significant discomfort, mostly related to the irritating action of K-wires and cerclage on the surrounding soft tissues, often leading to the need for implant removal. Therefore, we introduced an original technique for fix patellar fractures by using only a non-adsorbable braided polyblend suture. Postoperative care included progressive range of motion recovery using an articulated knee brace and a specific protocol. The suture-only tension band technique seems to be a useful technique in terms of complications and reoperation rate while allowing secure and early mobilization. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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