Separate Vertical Wirings for the Extra-articular Fractures of the Distal Pole of the Patella.

Knee Surgery & Related Research
Young Mo KimJung Mo Hwang

Abstract

To evaluate the usefulness of separate vertical wirings for extra-articular fracture of distal pole of patella. We have analyzed the clinical results of 18 cases that underwent separate vertical wirings for extra-articular fracture of distal pole of the patella from March 2005 to March 2010, by using the range of motion and Bostman score. Occurrence of complication was also evaluated. Additionally, by taking simple radiographs, the correlation between the postoperative degree of anterior transposition of bone fragment and the time of bone fusion, preoperative length of bone fragment, and occurrence of comminuted fracture were investigated. It took an average of 13.8 weeks for radiological bone union after separate vertical wiring fixation. Flexion contracture was an average of 0.8 degrees and further flexion was an average of 127.6°, and Bostman score was an average of 27.5 points (excellent in 12 cases, and good in 6 cases). On the first postoperative year, average flexion contracture was 0.6 degrees and further flexion was an average of 136.3°, which exhibited increased joint motion and recovery to normal range of motion, and Bostman score was an average of 28.7 points (excellent in 16 cases, and good in 2 cases). There was n...Continue Reading

References

Jan 1, 1987·Journal of Orthopaedic Trauma·J BenjaminM McMurtry
May 1, 1985·The Journal of Bone and Joint Surgery. British Volume·B LevackS Hobbs
Jan 1, 1972·Acta Orthopaedica Scandinavica. Supplementum·A Boström
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Feb 14, 2008·Archives of Orthopaedic and Trauma Surgery·Aljosa MatejcićMario Ledinsky

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Citations

Mar 21, 2018·Journal of Orthopaedic Trauma·Shuangjian HeJianning Zhao
Jan 28, 2017·Journal of Orthopaedic Trauma·Dustin S HambrightEdward K Rodriguez

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