| چکیده انگلیسی مقاله |
Objectives: Fractures located at the inferior pole of the patella pose challenges in terms of fracture fixation, primarily due to inadequate bone quality at the lower pole and typically limited options for secure fixation. This study introduces a novel approach that i nvolves employing the Krackow suture technique on the patellar tendon, followed by a longitudinal transosseous and upside -down fixation at the superior aspect of the patella using a suture anchor to address this challenge.Methods: A retrospective cohort case series was conducted at a single center, involving ten patients with fractures at the lower pole of the patella. Follow-up assessments were performed for a minimum of six months to observe postoperative gap formation and evaluate bony :union:. Knee motion, pain, function, and any intra- and postoperative complications were documented throughout the follow-up periods.Results: All patients exhibited complete bone :union: without gap formation six months postoperatively, accompanied by a regained full range of motion without any functional limitations. No instances of postoperative anterior knee pain, refracture of the inferior patellar pole, or other complications were reported during the follow-up period.Conclusion: The innovative technique involving longitudinal transosseous and upside-down suture anchor repair for the management of inferior patellar pole fractures is a straightforward and easily executable surgical procedure. This method offers stable fixation and yields favorable functional outcomes. Level of evidence: IV |
| نویسندگان مقاله |
| Duy Tran
1 The International Ph.D. Program in Medicine, College of
Medicine, Taipei Medical University, Taipei, Taiwan
2 Department of Orthopedics, Faculty of Medicine, Can Tho
University of Medicine and Pharmacy, Can Tho, Vietnam
| Yen-Wei Huang
Department of Orthopedics, Wan Fang Hospital, Taipei
Medical University, Taipei, Taiwan
| Yi-Jie Kuo
3 Department of Orthopedics, Wan Fang Hospital, Taipei
Medical University, Taipei, Taiwan
4 Department of Orthopedics, School of Medicine, College of
Medicine, Taipei Medical University, Taipei, Taiwan
| Tan Nguyen
Department of Orthopedics, Faculty of Medicine, Can Tho
University of Medicine and Pharmacy, Can Tho, Vietnam
| Shun-Jen Cheng
Department of Orthopedics, Wan Fang Hospital, Taipei
Medical University, Taipei, Taiwan
| Yu-Pin Chen
3 Department of Orthopedics, Wan Fang Hospital, Taipei
Medical University, Taipei, Taiwan
4 Department of Orthopedics, School of Medicine, College of
Medicine, Taipei Medical University, Taipei, Taiwan
|