Arthroscopically Monitored Dynamic Osteosynthesis in Closed Patella Fractures
V. V. Kuzmenko , S. G. Girshin , G. D. Lazishvili , V. E. Dubrov , S. M. Grishin
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1996, Vol. 3 ›› Issue (3) : 44 -47.
Arthroscopically Monitored Dynamic Osteosynthesis in Closed Patella Fractures
The study is based on the experience of treatment of 52 patients with closed transverse and oblique-transverse fractures of the patella. The problems of diagnosis and treatment of patella fractures with moderate (not more than 5 mm) displacement of fragments are considered. After X-ray exclusion of the severe injury of soft-tissue component of extensive complex of the knee joint the arthroscopy, joint washing from blood, reposition of fragments by instruments, percutaneous dipped osteosynthesis using pins and tightened wired loop quided subfascially are performed. That method was applied in 14 patients. Long term results are studied in 12 patients: complete early restoration of knee function is observed in all cases.
knee fracture / osteosynthesis / arthroscopy / hemarthrosis / diastasis
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