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DOI: 10.1055/s-0042-1744267
Management of Comminuted Fractures of the Distal Pole of the Patella with Vertical Wire Loops: Case Report[*]
Article in several languages: español | English Funding The present study did not receive any type of institutional or private funding.
Abstract
Introduction Comminuted fractures of the distal pole of the patella represent a challenge for the knee surgeon, as there is no standard treatment that enables accelerated rehabilitation. Osteosynthesis and reattachment of the distal pole using vertical wire loops has recently been described.
Materials and Methods We herein present two cases of comminuted fracture of the distal pole of the patella resolved with vertical wire loops and modifications of this technique.
Results Osteosynthesis of the distal pole of the patella was performed, achieving a satisfactory radiographic reduction and enabling accelerated rehabilitation, with a progressive range of motion the day after the surgery. The patients achieved full range of motion two and three months after surgery. They progressed satisfactorily, without complications related to this technique and its variations, and were discharged four months after the reduction and osteosynthesis.
Discussion The traditional techniques for the management of distal pole fractures involve special considerations regarding rehabilitation and associated complications. The vertical wire loop technique was used in two patients: in one of them, it was supplemented with a Krackow suture; and, in the other, with a mini-fragment plate, which enabled accelerated rehabilitation and early return to work.
Conclusion The use of vertical wire loops appears to be a safe technique, which enables accelerated rehabilitation and early return to work.
Level of evidence: V.
* Study conducted at Hospital del Trabajador ACHS, Santiago, Región Metropolitana, Providencia.
Publication History
Received: 10 August 2021
Accepted: 18 January 2022
Article published online:
20 May 2022
© 2022. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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