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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
[Patellar fractures : Modern treatment concepts in clinical routine practice]
Julian Kylies1, Jannik Frings1, Karl-Heinz Frosch1,2
1Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
None:
Although relatively rare patellar fractures are challenging joint injuries with relevant implications for knee function. The clinical decision-making is primarily guided by the fracture morphology, associated soft tissue damage and patient-associated factors. In addition to the commonly used tension band wiring osteosynthesis, modern biomechanically superior plate osteosyntheses are currently available. This article provides an overview of epidemiology, diagnostics, conservative and surgical treatment options of patellar fractures.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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