Hook plating in patella fractures

The goals of treatment for displaced patella fractures are anatomical reduction of the articular surface and restoration of the extensor mechanism of the knee. Tension band wiring (TBW) has long been the standard method for such fractures [1,2]. However, Smith et al. [3] reported that 22% of patella fractures treated with TBW were significantly displaced in the perioperative period. Particularly, comminuted patella fractures in elderly patients are difficult to treat since their osteopenic bone often lacks the strength to support TBW and/or cerclage, resulting in fixation failure prior to bone union [4].

Source: Injury - August 14, 2019 Category: Orthopaedics Authors: Jae-Hoon Jang, Seung-Joon Rhee, Ji Wan Kim Source Type: research