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KMID : 0361620210560060540
Journal of the Korean Orthopaedic Association
2021 Volume.56 No. 6 p.540 ~ p.549
Treatment of Transverse Patella Fracture with Minimally Invasive Load-Sharing Patellar Tendon Suture and Cannulated Screws
Lee Beom-Seok

Park Byeong-Mun
Yang Bong-Seok
Kim Kyu-Wan
Abstract
A transverse fracture is the most common type of displaced patella fracture requiring surgery. These fractures are commonly fixed with parallel Kirschner wires or screws that cross the fracture line, often with an additional tension band. Nevertheless, conventional fixation methods of patella fractures have prevalent complications caused by the protrusion of wires or pins. These complications necessitate additional surgery for hardware removal, increase medical cost, and can limit the function of the knee joint. This paper reports cases treated with a minimally invasive load-sharing percutaneous suture of the patella tendon. The procedure provides reliable fixation for transverse patella fractures, minimizes soft tissue injuries, preserves blood flow, and reduces postoperative pain. In addition, the procedure also reduces the irritation and pain caused by the internal fixture, thereby reducing the risk of restricted knee joint movement.
KEYWORD
patella fracture, minimally invasive technique, load-sharing suture, percutaneous suture
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