Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis
Patellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasi...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/5915701 |
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| _version_ | 1832547575750721536 |
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| author | José Leonardo Rocha de Faria Dieno Mol Souza Portella Victor Elias Titonelli Naasson Trindade Cavanellas Rodrigo Pires e Albuquerque Eduardo Branco de Sousa João Maurício Barretto |
| author_facet | José Leonardo Rocha de Faria Dieno Mol Souza Portella Victor Elias Titonelli Naasson Trindade Cavanellas Rodrigo Pires e Albuquerque Eduardo Branco de Sousa João Maurício Barretto |
| author_sort | José Leonardo Rocha de Faria |
| collection | DOAJ |
| description | Patellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasis between the patellar fragments. There is no consensus regarding the best treatment for such cases. This study is aimed at describing a rare case of patellar pseudoarthrosis in a patient who underwent two-step surgical treatment comprising transskeletal patellar traction followed by osteosynthesis with a tension band. A 17-year-old male patient presented with a left patellar fracture that resulted from a fall from a standing height 8 years ago. He did not undergo any type of surgical treatment during that time, but the fracture was immobilized for only 2 weeks. The two-step surgical treatment with transskeletal patellar traction and patellar osteosynthesis was performed and provided satisfactory functional clinical results in this patient. This two-step surgical treatment can be performed in cases similar to ours with satisfactory results. |
| format | Article |
| id | doaj-art-6a83b8d4ff3b409d92a583967230db8e |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-6a83b8d4ff3b409d92a583967230db8e2025-02-03T06:44:19ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/59157015915701Patellar Transskeletal Traction for the Treatment of Chronic Patellar PseudoarthrosisJosé Leonardo Rocha de Faria0Dieno Mol Souza Portella1Victor Elias Titonelli2Naasson Trindade Cavanellas3Rodrigo Pires e Albuquerque4Eduardo Branco de Sousa5João Maurício Barretto6Knee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilNational Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, BrazilPatellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasis between the patellar fragments. There is no consensus regarding the best treatment for such cases. This study is aimed at describing a rare case of patellar pseudoarthrosis in a patient who underwent two-step surgical treatment comprising transskeletal patellar traction followed by osteosynthesis with a tension band. A 17-year-old male patient presented with a left patellar fracture that resulted from a fall from a standing height 8 years ago. He did not undergo any type of surgical treatment during that time, but the fracture was immobilized for only 2 weeks. The two-step surgical treatment with transskeletal patellar traction and patellar osteosynthesis was performed and provided satisfactory functional clinical results in this patient. This two-step surgical treatment can be performed in cases similar to ours with satisfactory results.http://dx.doi.org/10.1155/2019/5915701 |
| spellingShingle | José Leonardo Rocha de Faria Dieno Mol Souza Portella Victor Elias Titonelli Naasson Trindade Cavanellas Rodrigo Pires e Albuquerque Eduardo Branco de Sousa João Maurício Barretto Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis Case Reports in Orthopedics |
| title | Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis |
| title_full | Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis |
| title_fullStr | Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis |
| title_full_unstemmed | Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis |
| title_short | Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis |
| title_sort | patellar transskeletal traction for the treatment of chronic patellar pseudoarthrosis |
| url | http://dx.doi.org/10.1155/2019/5915701 |
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