Results of partial patellectomy.
We present an assessment of 200 patellar fractures treated mostly (175) by partial patellectomy. In 23 cases in which the quadriceps mechanism was 75% intact (MRC power approximately 4), the fractures were treated conservatively, with an overall acceptable result. The operative series with an average follow-up of 3 years has shown 80.3% excellent to good results. A classification of fractures of the patella, based on the anatomical fracture line and quadriceps functional loss as recorded in 690 case histories, is suggested.
Ram Janam Sulakshna Institute of Orthopaedics, Trauma, Rehabilitation and Research, Rameshwaram, Ranchi, India.
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D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000503:physiopathology; D010329:Patella / Q000293:injuries*; D016059:Range of Motion, Articular; D013165:Splints / Q000592:standards; D013396:Suction / Q000592:standards; D013848:Thigh / Q000503:physiopathology