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TREATMENT OF INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE
João Pedro de Melo1, Stephanie Brandão1, Diego David Vilte Martinez1
1Hospital Geral de Carapicuíba, Carapicuíba, Sao Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|May 27, 2026
Summary
Inferior pole patellar fractures (IPPF) in adults can be treated with stable fixation techniques promoting bone healing and functional recovery. Optimal treatment choice for IPPF depends on fracture type, surgeon expertise, and complication reduction.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Inferior pole patellar fractures (IPPF) occur at the distal patella, impacting the patellar tendon insertion.
- These fractures are prevalent in young, active adults, often resulting from direct trauma or forceful muscle contractions.
- IPPF compromises the knee extensor mechanism, leading to pain, functional deficits, and reduced mobility.
Purpose of the Study:
- To conduct a literature review on the treatment of adult IPPF.
- To synthesize evidence to guide therapeutic decisions and optimize functional outcomes for IPPF.
Main Methods:
- A systematic search of the PUBMED database was performed.
- The search strategy focused on "inferior pole patellar fracture" in titles, with a five-year time cut-off.
- Sixteen studies were included after initial screening of 22 identified articles.
Main Results:
- Identified studies highlighted stable fixation techniques for IPPF that enhance bone consolidation and facilitate early functional recovery.
- The selection of the most effective treatment method is influenced by IPPF classification, surgeon experience, and the need to minimize complications like reoperations.
- The presence of a low-lying patella was also noted as a factor influencing treatment decisions.
Conclusions:
- Stable fixation techniques are crucial for successful IPPF management.
- Personalized treatment approaches considering fracture characteristics and surgeon expertise are essential for optimal outcomes in IPPF.
- Minimizing complications and achieving early functional recovery are key goals in the surgical management of IPPF.
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