Treatment of delayed and nonunion of the patella

Journal of Orthopaedic Trauma
J F Klassen, R T Trousdale

Abstract

To review our experience with nonoperative versus operative management of patients with patellar delayed union or nonunion. Retrospective study with an average follow-up of 64 months (range 5-135) after definitive treatment. All patients were reviewed and evaluated at a large multi-specialty clinic. The series represents twenty patients who all presented to our institution with a diagnosis of patellar nonunion irrespective of their initial treatment. This included twelve males and eight females with an average age of 38 (range 12-76) years. Initial treatment of the original fracture was nonoperative in 12 and operative in eight. All fractures progressed to symptomatic nonunion at an average of 34 months from original injury (range 4-109). Definitive treatment of the nonunion was nonoperative in seven patients and operative in 13. Nonoperative management consisted of observation, activity modification, physical therapy, and local pain relief measures. Operative management included open reduction and internal fixation, partial patellectomy, or patellectomy. The internal fixation consisted of tension band wiring, Bunnell wiring, cerclage wiring, or screw fixation. MAIN OUTCOME OR MEASURES: Patients were reviewed for radiographic a...Continue Reading

References

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Citations

Aug 4, 2010·International Orthopaedics·Senthil T NathanPeter V Giannoudis
Jun 22, 2012·Indian Journal of Orthopaedics·Parag GargSubhashish Mitra
Jun 5, 2007·Injury·Nalli R UvarajI M Basha
Dec 16, 2006·Ultrasound in Medicine & Biology·Ling QinKwoksui Leung
Aug 24, 2010·Journal of Orthopaedic Surgery and Research·Ppy LuiL Qin
Jul 18, 2016·Injury·I P PengasT Spalding
Feb 26, 2019·Case Reports in Orthopedics·José Leonardo Rocha de FariaJoão Maurício Barretto
Sep 28, 2018·Case Reports in Orthopedics·Rohan BhimaniFardeen Bhimani
Feb 9, 2021·Frontiers in Endocrinology·Peter KloenNiels Hendrik Bech

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