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[Late results in patellar fracture]
G Sperner1, P Wanitschek, K P Benedetto
1Univ.-Klinik für Unfallchirurgie Innsbruck.
Aktuelle Traumatologie
|February 1, 1990
Summary
This study followed patella fracture patients years after treatment. Patellectomy results were poor, while surgical fixation with cerclage, K-wires, or screws showed better outcomes, though patient perception sometimes differed from medical findings.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Patella fractures are common knee injuries.
- Long-term outcomes of different patella fracture treatments require further investigation.
Purpose of the Study:
- To evaluate the long-term outcomes of surgically treated patella fractures.
- To compare patient-reported outcomes with objective clinical findings.
Main Methods:
- Follow-up survey of 31 patients 6-9 years post-patella fracture.
- Analysis of subjective patient complaints versus objective medical evidence.
- Review of treatment modalities including conservative management, patellectomy, tension cerclage with K-wires, and screws.
Main Results:
- Outcomes following patellectomy were generally unsatisfactory.
- Tension cerclage with K-wires or screws were the most common surgical fixation methods.
- A discrepancy was noted between patient-reported feelings and objective medical evidence in some cases.
Conclusions:
- Surgical fixation methods like tension cerclage with K-wires or screws appear more favorable than patellectomy for patella fractures.
- Long-term evaluation highlights the importance of correlating subjective patient experience with objective clinical assessments.