title: Low Profile Mesh Plating for Patella Fractures: Video of a Novel Surgical Technique.
abstract: Patella fractures can be challenging to treat particularly in the presence of inferior pole comminution. In this video we present a novel surgical technique for the treatment of patella fractures using a small fragment low profile mesh plate. Key points are the surgical exposure with direct visualization of the articular reduction, the preparation of the mesh plate to accommodate patellar anatomy and the augmentation of the construct using Krackow sutures to address inferior pole comminution. Low profile mesh plating allows for multiplanar fixation of patella fractures while avoiding implant and fixation problems related to tension band fixation. Our early experience with this technique is encouraging and it appears that this technique is useful for the treatment of the majority of patella fractures.
authors.affiliation: Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian, New York, NY.
authors.forename: Diederik O
authors.initials: DO
authors.lastname: Verbeek
authors.forename: Lindsay E
authors.initials: LE
authors.lastname: Hickerson
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Warner
authors.forename: David L
authors.initials: DL
authors.lastname: Helfet
authors.forename: Dean G
authors.initials: DG
authors.lastname: Lorich
mesh_terms: D001860:Bone Plates; D019317:Evidence-Based Medicine; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010329:Patella / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome