Patella osteotomy: a new approach for complex trauma around the knee.
Complex floating knee injuries, comprising complete articular distal femur and proximal tibia fractures, are a significant challenge in Orthopedic Traumatology. Traditional surgical approaches can result in a limited exposure, compromising osteosynthesis, with an extensive soft tissue dissection predisposing to adhesion of the quadriceps and arthrofibrosis. The Patella Osteotomy technique provides unrivaled visualization of the articular surfaces of the knee, with a limited soft tissue dissection to permit the anatomical reconstruction of the articular injury, while minimizing the risk of postsurgical complications and reducing intraoperative fluoroscopy time.
Department of Orthopedic Surgery, Mona Vale Hospital, Mona Vale, NSW, Australia. dr.simon.donald@gmail.com
Simon M
SM
Donald
Edward R
ER
Bateman
D005264:Femoral Fractures / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D010329:Patella / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome