Patella Distal Pole Fracture Treated Using Ipsilateral Hamstring Autograft Augmentation and No Additional Hardware

Patellar lower-pole fractures occur in relatively young patients after eccentric contraction of the quadriceps or direct trauma. Early diagnosis and adequate treatment lead to excellent outcomes and prevent tendon retraction and scarring. The aim of surgical treatment is to restore articular congrue...

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Published inArthroscopy techniques (Amsterdam) Vol. 10; no. 1; pp. e61 - e65
Main Authors Bulaïd, Yassine, Fabre, Maxime, Parratte, Sébastien, Argenson, Jean-Noël, Ollivier, Matthieu
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.01.2021
Elsevier
Subjects
Human health and pathology
Life Sciences
Rhumatology and musculoskeletal system
Surgery
Technical Note
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Summary:Patellar lower-pole fractures occur in relatively young patients after eccentric contraction of the quadriceps or direct trauma. Early diagnosis and adequate treatment lead to excellent outcomes and prevent tendon retraction and scarring. The aim of surgical treatment is to restore articular congruence and reestablish the extensor mechanism of the knee. All surgical treatments (sutures and tension band wiring, separate vertical wiring or augmented with Krackow sutures, wiring through screws, basket plate, hook plate) use additional hardware. We propose a hardware-free technique using ipsilateral hamstring augmentation.
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ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2020.09.013