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

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomechanics

Background:

• Patellar lower-pole fractures commonly affect young individuals, often resulting from eccentric quadriceps contraction or trauma.
• Prompt diagnosis and effective treatment are crucial to prevent complications like tendon retraction and scarring.
• Current surgical interventions aim to restore knee joint congruence and the extensor mechanism.

Purpose of the Study:

• To present a novel, hardware-free surgical technique for treating patellar lower-pole fractures.
• To evaluate the potential of ipsilateral hamstring augmentation as an alternative to traditional hardware-based methods.
• To achieve excellent functional outcomes by restoring knee extensor mechanism integrity.

Main Methods:

• A hardware-free surgical approach using ipsilateral hamstring augmentation is proposed.
• This technique avoids the need for implants such as sutures, wiring, screws, or plates.
• Focus is placed on reestablishing the knee's extensor mechanism and articular congruence.

Main Results:

• The proposed technique offers a hardware-free solution for patellar lower-pole fractures.
• Ipsilateral hamstring augmentation serves as an alternative to conventional surgical hardware.
• This approach aims for excellent patient outcomes by preserving the extensor mechanism.

Conclusions:

• A hardware-free technique using ipsilateral hamstring augmentation is a viable option for patellar lower-pole fractures.
• This innovative approach may reduce complications associated with surgical hardware.
• Restoring articular congruence and the extensor mechanism without implants can lead to excellent outcomes.