Comminuted inferior pole fracture of patella can be successfully treated with rim-plate-augmented separate vertical wiring

Jae Woo Cho, Jinil Kim, Won Tae Cho, Pranay H. Gujjar, Chang Wug Oh, Jong-Keon Oh

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: We present the surgical technique of rim-plate-augmented separate vertical wiring for comminuted inferior pole fracture of the patella and report the clinical outcomes. Materials and methods: Between July 2013 and January 2016, 13 patients (7 male and 6 female) who were diagnosed with comminuted inferior pole fracture of the patella in preoperative computed tomography and underwent a minimum of 1 year of follow-up were enrolled in this study. Mean patient age was 57.7 years (range 28–72 years). All patients underwent open reduction and internal fixation by rim-plate-augmented separate vertical wiring. Bony union, complications, range of motion and Bostman score were the clinical outcomes. Results: Bony union was achieved in all cases at an average of 10 weeks after surgery (range 8–12). There was no loss of reduction and fixative failure during follow-up. The average range of motion was 127° (range 120°–130°). The mean Bostman score at last follow-up was 29.6 points (range 27–30) and graded excellent in 12 patients. Conclusion: Rim-plate-augmented separate vertical wiring demonstrated secure fixation and favorable clinical outcomes. This study provides evidence for its effectiveness as a fixation method for treating displaced, comminuted inferior pole fracture of the patella.

Original languageEnglish
Pages (from-to)195-202
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume138
Issue number2
DOIs
Publication statusPublished - 2018 Feb 1

Keywords

  • Inferior pole fracture
  • Patellar fracture
  • Rim plate
  • Separate vertical wiring

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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