A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure

We describe a novel operative technique for patellar fracture. The patient is placed in the supine position for setup of both an image intensifier and arthroscopy. After routine intra-articular inspection with an arthroscope, an extra-articular space including the prepatellar bursa is developed. The...

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Main Authors: Shinichi Maeno, M.D., Ph.D., Daijo Hashimoto, M.D., Ph.D., Toshiro Otani, M.D., Ph.D., Ko Masumoto, M.D., Ph.D., Nobuyuki Fujita, M.D., Ph.D., Seiji Saito, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2013-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S221262871300039X
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author Shinichi Maeno, M.D., Ph.D.
Daijo Hashimoto, M.D., Ph.D.
Toshiro Otani, M.D., Ph.D.
Ko Masumoto, M.D., Ph.D.
Nobuyuki Fujita, M.D., Ph.D.
Seiji Saito, M.D., Ph.D.
author_facet Shinichi Maeno, M.D., Ph.D.
Daijo Hashimoto, M.D., Ph.D.
Toshiro Otani, M.D., Ph.D.
Ko Masumoto, M.D., Ph.D.
Nobuyuki Fujita, M.D., Ph.D.
Seiji Saito, M.D., Ph.D.
author_sort Shinichi Maeno, M.D., Ph.D.
collection DOAJ
description We describe a novel operative technique for patellar fracture. The patient is placed in the supine position for setup of both an image intensifier and arthroscopy. After routine intra-articular inspection with an arthroscope, an extra-articular space including the prepatellar bursa is developed. The space is created with a lifting hanger applied from a portal wherein an arthroscope can then afford both intra- and extra-articular observation of the articular and bony surface of the patella. By use of an image intensifier, the fracture can be treated and fixed in percutaneous fashion with the aid of an arthroscope. This new technique offers surgeons a magnified view of the patella, both intra- and extra-articularly, through a minimally invasive procedure. Although it includes inherent risks and limitations, this new application of arthroscopy would certainly help surgeons to treat patellar fracture.
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spelling doaj.art-af11f165d393439aa79d4fdc02abb91a2022-12-21T22:27:22ZengElsevierArthroscopy Techniques2212-62872013-08-0123e275e279A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting ProcedureShinichi Maeno, M.D., Ph.D.0Daijo Hashimoto, M.D., Ph.D.1Toshiro Otani, M.D., Ph.D.2Ko Masumoto, M.D., Ph.D.3Nobuyuki Fujita, M.D., Ph.D.4Seiji Saito, M.D., Ph.D.5Department of Orthopaedic Surgery, Shioya Hospital of International University of Health and Welfare, Tokyo, Japan; Address correspondence to Shinichi Maeno, M.D., Ph.D., Department of Orthopaedic Surgery, Shioya Hospital of International University of Health and Welfare, 77 Tomita, Yaita-city, Tochigi, 329-2145 Japan.Department of Surgery, Towa Hospital, Tokyo, JapanKeio University Faculty of Nursing and Medical Care, Tokyo, JapanMasumoto Clinic, Tokyo, JapanDepartment of Orthopaedic Surgery, Shioya Hospital of International University of Health and Welfare, Tokyo, JapanDepartment of Orthopaedic Surgery, Shioya Hospital of International University of Health and Welfare, Tokyo, JapanWe describe a novel operative technique for patellar fracture. The patient is placed in the supine position for setup of both an image intensifier and arthroscopy. After routine intra-articular inspection with an arthroscope, an extra-articular space including the prepatellar bursa is developed. The space is created with a lifting hanger applied from a portal wherein an arthroscope can then afford both intra- and extra-articular observation of the articular and bony surface of the patella. By use of an image intensifier, the fracture can be treated and fixed in percutaneous fashion with the aid of an arthroscope. This new technique offers surgeons a magnified view of the patella, both intra- and extra-articularly, through a minimally invasive procedure. Although it includes inherent risks and limitations, this new application of arthroscopy would certainly help surgeons to treat patellar fracture.http://www.sciencedirect.com/science/article/pii/S221262871300039X
spellingShingle Shinichi Maeno, M.D., Ph.D.
Daijo Hashimoto, M.D., Ph.D.
Toshiro Otani, M.D., Ph.D.
Ko Masumoto, M.D., Ph.D.
Nobuyuki Fujita, M.D., Ph.D.
Seiji Saito, M.D., Ph.D.
A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
Arthroscopy Techniques
title A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
title_full A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
title_fullStr A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
title_full_unstemmed A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
title_short A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure
title_sort novel surgical technique for patellar fracture application of extra articular arthroscopy with hanger lifting procedure
url http://www.sciencedirect.com/science/article/pii/S221262871300039X
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