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Patellectomy with vastus medialis obliquus advancement for comminuted patellar fractures: a prospective randomised
1Department of Orthopedics, Osmangazi University Hospital, Eskisehir, Turkey.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1997
Abstract:
We have compared the results of simple patellectomy (group A, n = 16) and patellectomy with advancement of the vastus medialis obliquus (group B, n = 12) in a prospective, randomised trial, with a minimum follow-up of three years. The results in group B were significantly better (p < 0.001) than those in group A. Although the patella should be preserved if possible, we advocate advancement of the vastus medialis obliquus when patellectomy is necessary.