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Non-union Patella Fracture - Extensor Mechanism Repair with Quadriceps Release: A Case Report
Sushil Mankar1, Rohan Jogewar1, Pallav Agrawal1
1Department of Orthopaedic Surgery, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.
Introduction:
Non-union patella is rarely seen in everyday outpatient department. Displaced patella fractures usually require surgical treatment for optimum results. The proximal fragment is retracted by the pool of quadriceps muscle. Conservatively managed displaced patella fractures lead to nonunion and impaired knee function.
Case Report:
In our study, a 10-month-old neglected displaced patella fracture with impaired knee function was treated with extensor mechanism repair augmented with bone graft. A good functional outcome was observed at the end of 12 months. A good knee range of motion from full extension to 110° was observed.
Conclusion:
We conclude that a stable fixation augmented with bone grafting and quadriceps release which augments bone healing gives good functional outcomes.
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