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Year : 2021  |  Volume : 9  |  Issue : 1  |  Page : 6-9

Clinical profile of patients with patellar fractures at a tertiary care hospital

1 Department of Orthopedics, Dhanalakshmi Srinivasan Medical College and Hospital, Trichy, Tamil Nadu, India
2 Department of Orthopedics, Kamineni Institute of Medical Sciences, Nalgonda, Telangana, India

Correspondence Address:
Dr. Goutham Kumar
Department of Orthopedics, Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjhs.mjhs_20_20

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Background: Patellar fractures are injuries of a serious nature. Among the skeletal injuries, they constitute about 1%. Males are affected double than that compared to the females. It is not easy to perform a stable form of reconstruction of the facture of the patella, and it is a major challenge to the surgeons. Objective: The objective of the study was to study the clinical profile of patients with patellar fractures. Materials and Methods: We conducted this study on forty patients with fracture patella in 2-year duration. The period of follow-up was 4–14 months. Management options included partial and/or total patellectomy and internal fixation with tension band wiring with K wire. All the fracture of patella cases by accident or due to fall were included. Careful clinical examination and history taking was carried out. X ray of the knee joint, anterior posterior, lateral view was also advised. Results: Male-to-female ratio was 4:1. Twenty percent of patients underwent conservative management. Among them, internal fixation with K wire banding was done in 60% of the cases, while 5% required total patellectomy and 15% required partial patellectomy. Majority, i.e., 85% had fracture of the patella due to road traffic accidents. Fifty-five percent of the cases had no complications. The most common complication was infections in 20% of the cases, followed by effusion in 10% and wire breakage in 10% of the cases. Only two cases had delayed union. Conclusion: As for as possible patella should be preserved with good surgical techniques, proper antibiotics and with good physiotherapy results are excellent.

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