Multiplanar Fixation for Patella Fractures Using a Low-Profile Mesh Plate.
Patella fractures are challenging orthopaedic injuries. Many commonly used fixation techniques can be ineffective and lead to poor clinical outcomes even with satisfactory reductions and fracture healing. In this investigation, we present the technique of cage plate fixation of patella fractures and the clinical outcomes of 9 initial patients surgically treated at our institution. This technique allows direct visualization of the articular reduction, provides multiplanar fixation, effectively stabilizes inferior pole comminution, and reduces the risk of patella vascular disruption. Using this technique, we have achieved excellent functional and radiographic outcomes.
*Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY; †Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY; and ‡Orthopaedic Trauma Service, University of Texas, Houston, TX.
Dean G
DG
Lorich
Stephen J
SJ
Warner
Patrick C
PC
Schottel
Andre D
AD
Shaffer
Lionel E
LE
Lazaro
David L
DL
Helfet
D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D019544:Equipment Failure Analysis; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000293:injuries* / Q000601:surgery*; D011474:Prosthesis Design; D011859:Radiography; D013526:Surgical Mesh; D016896:Treatment Outcome