Multifragment fracture of the patellar apex with extensive loss of skin: A case report
Introduction: Patella fractures account for 1 % of all skeletal fractures, and can interrupt the knee's extensor apparatus. They can also be serious if associated with a cutaneous opening. We report the case of a fracture of the tip of the patella with a large loss of cutaneous substance. Case...
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Elsevier
2024-08-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024000748 |
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| author | Mohammed Barrached Aboubacar Lawan Abdou Achraf Tebbaa el Hassali Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi |
| author_facet | Mohammed Barrached Aboubacar Lawan Abdou Achraf Tebbaa el Hassali Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi |
| author_sort | Mohammed Barrached |
| collection | DOAJ |
| description | Introduction: Patella fractures account for 1 % of all skeletal fractures, and can interrupt the knee's extensor apparatus. They can also be serious if associated with a cutaneous opening. We report the case of a fracture of the tip of the patella with a large loss of cutaneous substance. Case report: A 22-year-old man was admitted for the management of a left knee trauma following a motorcycle accident. Clinical examination revealed a large loss of skin substance on the anteromedial aspect of the knee, with exposed bone, pain and lack of extension of the left knee. Standard X-ray of the left knee showed an avulsion fracture of the tip of the patella. The patient underwent patellar tendon reconstruction using transosseous stitches, reinforced by a quadricipital tendon reversal plasty, and protected by steel-wire patellotibial cerclage. A medial gastrocnemius flap was used to cover the loss of skin substance. After a functional rehabilitation protocol, the functional results were satisfactory, with a full return to activity after six months. Conclusion: The stability of osteosynthesis using quadricipital tendon reversal plasty and patellotibial cerclage allows mobilization and immediate weight-bearing. This may lead to better clinical results. |
| format | Article |
| id | doaj-art-7d24e3ea9c1b487bae7cfc78a937ab5f |
| institution | DOAJ |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Elsevier |
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| series | Trauma Case Reports |
| spelling | doaj-art-7d24e3ea9c1b487bae7cfc78a937ab5f2025-08-20T03:20:33ZengElsevierTrauma Case Reports2352-64402024-08-015210105110.1016/j.tcr.2024.101051Multifragment fracture of the patellar apex with extensive loss of skin: A case reportMohammed Barrached0Aboubacar Lawan Abdou1Achraf Tebbaa el Hassali2Adnane Lachkar3Najib Abdeljaouad4Hicham Yacoubi5Corresponding author at: Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco; Department of Traumatology and Orthopedic, Mohammed VI University Hospital, Oujda, MoroccoIntroduction: Patella fractures account for 1 % of all skeletal fractures, and can interrupt the knee's extensor apparatus. They can also be serious if associated with a cutaneous opening. We report the case of a fracture of the tip of the patella with a large loss of cutaneous substance. Case report: A 22-year-old man was admitted for the management of a left knee trauma following a motorcycle accident. Clinical examination revealed a large loss of skin substance on the anteromedial aspect of the knee, with exposed bone, pain and lack of extension of the left knee. Standard X-ray of the left knee showed an avulsion fracture of the tip of the patella. The patient underwent patellar tendon reconstruction using transosseous stitches, reinforced by a quadricipital tendon reversal plasty, and protected by steel-wire patellotibial cerclage. A medial gastrocnemius flap was used to cover the loss of skin substance. After a functional rehabilitation protocol, the functional results were satisfactory, with a full return to activity after six months. Conclusion: The stability of osteosynthesis using quadricipital tendon reversal plasty and patellotibial cerclage allows mobilization and immediate weight-bearing. This may lead to better clinical results.http://www.sciencedirect.com/science/article/pii/S2352644024000748KneeFracture of the patellar apexSkin lossPatellotibial cerclageGastrocnemius flap |
| spellingShingle | Mohammed Barrached Aboubacar Lawan Abdou Achraf Tebbaa el Hassali Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi Multifragment fracture of the patellar apex with extensive loss of skin: A case report Trauma Case Reports Knee Fracture of the patellar apex Skin loss Patellotibial cerclage Gastrocnemius flap |
| title | Multifragment fracture of the patellar apex with extensive loss of skin: A case report |
| title_full | Multifragment fracture of the patellar apex with extensive loss of skin: A case report |
| title_fullStr | Multifragment fracture of the patellar apex with extensive loss of skin: A case report |
| title_full_unstemmed | Multifragment fracture of the patellar apex with extensive loss of skin: A case report |
| title_short | Multifragment fracture of the patellar apex with extensive loss of skin: A case report |
| title_sort | multifragment fracture of the patellar apex with extensive loss of skin a case report |
| topic | Knee Fracture of the patellar apex Skin loss Patellotibial cerclage Gastrocnemius flap |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024000748 |
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