학술논문
Neglected patella nonunion successfully treated after 8 years by quadriceps distractive lengthening with a spanning unilateral external fixation system.
Document Type
Journal Article
Source
Subject
*UNUNITED fractures
*PATELLA injuries
*PATELLOFEMORAL joint
*QUADRICEPS muscle
*EXTENSOR muscles
*EXTERNAL skeletal fixation (Surgery)
*RANGE of motion of joints
*HEMIPLEGICS
*SURGERY
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Language
ISSN
0942-2056
Abstract
Neglected patella non-unions are rare. Contraction of the quadriceps makes late repair extremely difficult. A case of distal patella pole fracture neglected for 8 years is presented. The patient was a hemiplegic young female unable to walk due to extensor mechanism deficiency with a 10 cm retraction of the patella proximal pole at her neurologically intact side. The quadriceps was lengthened using a spanning unilateral external fixation system and the fragments successfully united after trans-osseous suture repair. At 4-year follow-up the patient was independently ambulating without symptoms with a functional knee range of motion. Level of evidence IV. [ABSTRACT FROM AUTHOR]