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Patella Fractures by Different Techniques

  • Simone Cerciello
  • Sébastien Lustig
  • Elvire Servien
  • Ceciel Batailler
  • Philippe Neyret
Chapter

Abstract

Patellar fractures are common. Anatomic reduction and stable fixation is crucial to achieve satisfactory results and avoid early complications and articular cartilage degeneration. Open techniques represent the most common approach to these fractures. Unfortunately, they are associated with a variable rate of early complications often requiring reoperation. Arthroscopic-assisted techniques have been introduced to improve the outcomes and reduce the rate of complications that are associated with open approaches. The most common indication is a displaced transverse fracture. In those cases, arthroscopy ensures accurate articular structure integrity evaluation. In addition, precise visualization of the reduction of the fragments is possible allowing the use of minimally invasive osteosynthesis techniques. Several options have been described including screws, cerclage, tension band, and external fixators.

Keywords

Patellar fractures Transverse fractures Tension band Arthroscopy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Simone Cerciello
    • 1
    • 2
  • Sébastien Lustig
    • 3
  • Elvire Servien
    • 3
  • Ceciel Batailler
    • 3
  • Philippe Neyret
    • 4
    • 5
  1. 1.Casa di Cura Villa BetaniaRomeItaly
  2. 2.Marrelli HospitalCrotoneItaly
  3. 3.Albert Trillat Center, Lyon North University HospitalLyonFrance
  4. 4.University Lyon 1LyonFrance
  5. 5.Burjeel Orthopedic and Sports Medicine CenterAbu DhabiUAE

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