title: An innovative compression-clamp for open contaminated fractures of patella: a short report of five cases.
abstract: Five patients with open contaminated fractures of the patella were managed using an indigenously designed external clamp cum compressor. All had an infected lacerated wound at the fracture site, and one had open exposed knee joint (Gustilo grade IIIB open fracture). These patients reported after 3-7 days of injury. The wounds were thoroughly washed and débrided and the clamp cum compressor was applied. They were encouraged to do active knee movements immediately post-operatively. The wounds healed within 3-4 weeks, and the fractures united within 10-16 weeks. Good functional results were achieved in four of the five.
authors.affiliation: Department of Orthopaedics, Paraplegia, and Physical Medicine, Postgraduate Institute of Medical Sciences, Rohtak 124 001, Haryana, India.
authors.forename: Z S
authors.initials: ZS
authors.lastname: Kundu
authors.forename: S S
authors.initials: SS
authors.lastname: Sangwan
authors.forename: K M
authors.initials: KM
authors.lastname: Marya
authors.forename: V
authors.initials: V
authors.lastname: Yadav
mesh_terms: D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000209:etiology; D003646:Debridement; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation*; D005597:Fractures, Open / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D010329:Patella / Q000293:injuries* / Q000473:pathology; D016896:Treatment Outcome; D014946:Wound Infection / Q000517:prevention & control