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Patella Fracture case

What is Patella Fracture Case?

A break in the bone at the front of the knee joint is known as a kneecap (patella) fracture. The patella is a sesamoid or spherical bone encased in a tendon that covers and shields a joint. The patella is connected to the shin bone and the quadriceps muscles of the thigh via ligaments (tibia).

Performing Surgery

When to go for surgery

Wearing a cast or splint while the bone heals is an effective treatment for certain simple patellar fractures. However, in the majority of patellar fractures, the damage causes the bone fragments to migrate out of position. The kneecap must be surgically repaired for these more complex fractures. A patellectomy, either partial or complete, may be necessary for severe comminution. Antibiotics should be administered to patients with open fractures, and orthopaedics should be called for urgent irrigation and debridement. When there is discomfort when bending and straightening the knee, in raising the leg straight or extending the leg. The fragmented parts give the knee a distorted look. You feel Sensitivity to pressure on the kneecap, surgery is recommended.

The Procedure

When bone fragments are separated by > 1-4 mm and displaced from the articular surface by > 2-3 mm, patellar fractures frequently develop and necessitate surgery. Tension-band wiring (TBW) employing Kirschner wire (K-wire) and soft steel wire is the most used surgical procedure. Larger parts of the patella may be held together during surgery using screws, pins, and wires. Bone pieces that can't be reattached are removed. Only in acute damage cases is the patella removed completely.

Medical Consultation

Post Surgery Care

Infection, non-union, and reoperation are the three most frequent main problems following surgical treatment of patellar fractures. The following care must be taken:

  • During the first two days following surgery, applying ice to your knee for 20 to 30 minutes a few times a day will help ease the pain.

  • Keep your knee raised above heart level as much as you can to lessen discomfort and swelling.

  • Sleeping with cushions beneath your ankles is frequently beneficial.

  • Timely medicines and course completion

  • Appropriate diet as suggested by your doctor

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