Naslov
Multifragment fracture of the patellar apex: basket plate osteosynthesis compared with partial patellectomy
(Multifragment fracture of the patellar apex: basket plate osteosynthesis compared with partial patellectomy)

Autori
Matejčić, Aljoša ; Puljiz, Zvonimir ; Elabjer, Esmat ; Bekavac-Bešlin, Miroslav ; Ledinsky, Mario

Izvornik
Archives of Orthopaedic and Trauma Surgery (0936-8051) 128 (2008), 4; 403-408

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Fracture of distal pole of the patella · Partial patellectomy · Basket plate osteosynthesis

Sažetak
Introduction The purpose of the present study was to evaluate and compare the long-term results of operative treatment of a multifragment fracture of the inferior patellar pole by basket plate osteosynthesis and partial patellectomy. Materials and methods We retrospectively studied two groups of patients who had operative treatment of a multifragment fracture of the inferior patellar pole between 1988 and 2004. Seventy-one patients who had osteosynthesis by basket plate (Group 1) and 49 patients who had partial patellectomy (Group 2) were followed for an average of 5.3 years. The Wnal evaluation was based on the modiWed Cincinnati Knee rating system test. Results The results were excellent or good in 90.1% patients of Group 1, and 73.5% patients of Group 2. SigniWcant diVerences between the groups were noted with regard to knee pain, swallowing, level activity, compression pain, range of motion, muscular atrophy, muscular strength, and Wnal patellofemoral score which conWrms statistical analysis. Conclusion The stability of the osteosynthesis by basket plate allows osseous consolidation of the fracture and permits immediate mobilization and early weight bearing. Osteosynthesis by basket plate can provide better clinical results.

Izvorni jezik
Engleski

POVEZANOST RADA