"Pediatric Patella fractures - A Systematic review"
Sajid Ansari1, Saptarshi Barman2, Balgovind S Raja3
1Department of Orthopeaedics, All India Institute of Medical Sciences, Rishikesh, India.
Pediatric patella fractures present diagnostic and treatment challenges. This review suggests surgical intervention is often the primary treatment for pediatric patella fractures and osteochondral fractures.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Patella fractures in children pose diagnostic and treatment dilemmas.
- Clear guidelines for conservative vs. surgical management during growth are lacking.
- This review addresses morphological types, treatments, outcomes, and complications.
Purpose of the Study:
- To establish a consensus on managing pediatric patella fractures.
- To clarify indications for conservative and surgical interventions.
- To review outcomes and complications of pediatric patella fracture treatments.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Inclusion of English articles on patellar and osteochondral fractures in patients <18 years.
- Exclusion of incomplete data, case reports, and non-English studies.
Main Results:
- 18 articles and 288 pediatric patients were included.
- Average patient age ranged from 9.6 to 16 years.
- 83 patients underwent surgical fixation, while 101 received conservative casting/immobilization.
Conclusions:
- Pediatric patella fractures and osteochondral fractures are rare but significant.
- While conservative management is an option, surgical intervention is recommended as the primary treatment.
- Early diagnosis and appropriate management are crucial for optimal outcomes.
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