International Journal of Orthopedic Surgery & Research
Open AccessEvaluation of the Results of Surgical Treatment of Recent Patellar Fractures
Authors: Bah ML, Bah AT, Sidibe M, Ndiaye AT, Camara A, Doukoure M.
Abstract
Our study aimed to evaluate the results of surgical treatment of recent patellar fractures. This was a single-center, prospective, descriptive study conducted in the Orthopedics-Traumatology Department of the Ignace Deen National Hospital over four years (from March 1, 2014, to March 31, 2018, inclusive). It included 72 patients undergoing surgery for a recent patellar fracture. The Bosman functional score enabled us to assess our patients clinically. Assessment of the condition of the osteosynthesis material and bone callus served as radiological criteria. At a mean follow-up of 24 ± 3 months [14-36 months], we were able to review 72 patients. We noted 14 cases of complications (36% knee stiffness, 29% residual pain, 21% malunion, and 14% infections). The mean time to consolidation was 10 ± 4 weeks [8-12 weeks]. The consolidation rate was 100%. The mean Bosman functional score was 23 ± 7. It was excellent in 36 patients, good in 22, and poor in 14. Treatment of patellar fractures should be exclusively surgical. Prepatellar tension bracing is the osteosynthesis technique of choice. The primary concern remains knee stiffness, which can be managed through early rehabilitation—one of the pillars of treatment that requires good patient cooperation.
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