Evolution in the Management of Patella Fractures

Patella fractures usually occur as a result of direct trauma to the anterior knee joint, indirect injury as a result of eccentric muscle contraction, or rapid knee flexion against a contracted quadriceps muscle. The patella functions as part of the extensor mechanism of the knee, where large forces...

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Main Authors: Mahak Baid, Sid Narula, Jonathan R. Manara, William Blakeney
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/5/1426
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author Mahak Baid
Sid Narula
Jonathan R. Manara
William Blakeney
author_facet Mahak Baid
Sid Narula
Jonathan R. Manara
William Blakeney
author_sort Mahak Baid
collection DOAJ
description Patella fractures usually occur as a result of direct trauma to the anterior knee joint, indirect injury as a result of eccentric muscle contraction, or rapid knee flexion against a contracted quadriceps muscle. The patella functions as part of the extensor mechanism of the knee, where large forces are transmitted, and its subcutaneous nature has made treatment of patella fractures a challenge. In this review article, we evaluate how the management of these fractures has evolved over time and the advantages associated with the various treatment techniques. There are few comparative studies looking at the different treatment types for fractures of the patella, with the goal of achieving a functional extensor mechanism with low rates of post-traumatic arthritis and metal-work irritation.
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spelling doaj.art-6f95119fb34a4eb9b95bbffca2f50b5f2024-03-12T16:48:25ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01135142610.3390/jcm13051426Evolution in the Management of Patella FracturesMahak Baid0Sid Narula1Jonathan R. Manara2William Blakeney3Aneurin Bevan University Health Board, Wales NP20 2UB, UKRoyal Perth Hospital, Perth, WA 6000, AustraliaAneurin Bevan University Health Board, Wales NP20 2UB, UKRoyal Perth Hospital, Perth, WA 6000, AustraliaPatella fractures usually occur as a result of direct trauma to the anterior knee joint, indirect injury as a result of eccentric muscle contraction, or rapid knee flexion against a contracted quadriceps muscle. The patella functions as part of the extensor mechanism of the knee, where large forces are transmitted, and its subcutaneous nature has made treatment of patella fractures a challenge. In this review article, we evaluate how the management of these fractures has evolved over time and the advantages associated with the various treatment techniques. There are few comparative studies looking at the different treatment types for fractures of the patella, with the goal of achieving a functional extensor mechanism with low rates of post-traumatic arthritis and metal-work irritation.https://www.mdpi.com/2077-0383/13/5/1426AO—Arbeitsgemeinschaft für OsteosynthesefragenTBW—tension band wireROM—Range of Motion
spellingShingle Mahak Baid
Sid Narula
Jonathan R. Manara
William Blakeney
Evolution in the Management of Patella Fractures
Journal of Clinical Medicine
AO—Arbeitsgemeinschaft für Osteosynthesefragen
TBW—tension band wire
ROM—Range of Motion
title Evolution in the Management of Patella Fractures
title_full Evolution in the Management of Patella Fractures
title_fullStr Evolution in the Management of Patella Fractures
title_full_unstemmed Evolution in the Management of Patella Fractures
title_short Evolution in the Management of Patella Fractures
title_sort evolution in the management of patella fractures
topic AO—Arbeitsgemeinschaft für Osteosynthesefragen
TBW—tension band wire
ROM—Range of Motion
url https://www.mdpi.com/2077-0383/13/5/1426
work_keys_str_mv AT mahakbaid evolutioninthemanagementofpatellafractures
AT sidnarula evolutioninthemanagementofpatellafractures
AT jonathanrmanara evolutioninthemanagementofpatellafractures
AT williamblakeney evolutioninthemanagementofpatellafractures