Arthroscopically Monitored Dynamic Osteosynthesis in Closed Patella Fractures

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Abstract

The study is based on the experience of treatment of 52 patients with closed transverse and oblique-transverse fractures of the patella. The problems of diagnosis and treatment of patella fractures with moderate (not more than 5 mm) displacement of fragments are considered. After X-ray exclusion of the severe injury of soft-tissue component of extensive complex of the knee joint the arthroscopy, joint washing from blood, reposition of fragments by instruments, percutaneous dipped osteosynthesis using pins and tightened wired loop quided subfascially are performed. That method was applied in 14 patients. Long term results are studied in 12 patients: complete early restoration of knee function is observed in all cases.

About the authors

V. V. Kuzmenko

Pirogov Russian State Medical University

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

S. G. Girshin

Pirogov Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

G. D. Lazishvili

Pirogov Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

V. E. Dubrov

Pirogov Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

S. M. Grishin

Pirogov Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

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2. Fig. 1. Diagram of the location of the spokes and the binding wire loop.

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3. Fig. 2. X-ray of the patient after surgical treatment.

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Copyright (c) 1996 Eco-Vector



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