Improving functional outcomes, minimizing soft-tissue irritation, and limiting postoperative complications are possible by using the therapeutic principles of rigid anatomical fixation and meticulous soft-tissue handling.Ĭopyright © 2021 by the American Academy of Orthopaedic Surgeons. The evolution of patellar fracture fixation continues to maximize options to balance rigid fixation with low-profile fixation constructs. Incongruent articular surface can result in detrimental long-term effects therefore, surgical treatment is directed toward anatomic reduction and fixation. More likely, your knee will be placed in a cast or removable brace. Meticulous handling of the soft-tissue envelope is of the utmost importance, given the patella's tenuous blood supply and limited soft-tissue envelope. You may have only to limit, not stop, your activity if you have a very minor fracture. Surgical treatment is recommended in fractures with any of the following features: articular step-off > 2 mm, > 3 mm of fracture displacement, open fractures, and displaced fractures affecting the extensor mechanism. Displaced fractures affect the extension apparatus, and often require surgical fixation. Each fracture pattern requires appropriate preoperative planning and individualization of the fixation method. At the front of the knee joint lives the patella, a small round bone that acts as a shield to protect the knee. Most fractures are either a result of direct impact or through an indirect eccentric extensor contraction injury. What Is a Fractured Patella A fractured patella is also known as a fractured kneecap or a broken kneecap. The tibia or shinbone is the larger of the. Patellar fracture morphology varies based on the mechanism of injury. The lower leg is made up of two long bones called the tibia and fibula that extend between the knee and ankle.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |