[Actual problems of surgical treatment of patellar fractures]

The article analyzes an experience with the operative treatment of 90 patients with fractures of the kneepans and injuries of the extension system. A combination of the kneepan suture with a thorough suture of the lateral extension system and restoration of the anatomical form of the articulation surface of the kneepan in young and middle aged people allows the functional treatment to be started earlier, and in elderly and senile patients it made the deformity less by the improvement of motor activity and early movements. Recommendations for technical fulfilment of the operation are given.