Document Detail


The management of nonunion and delayed union of patella fractures: a systematic review of the literature.
MedLine Citation:
PMID:  20680273     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nonunion and delayed union of patella fractures are rare conditions that are fraught with challenges. There exists limited evidence in the literature to guide the clinician in the management of these complications. Therefore, the purpose of this study was to perform a systematic review of the available evidence on the management of nonunion and delayed union of patella fractures. A total of five publications which met our criteria were identified and formed the basis of this study. The decision making in the treatment of this condition is based on the functional demands of the patient, the factors that led to the development of the nonunion, the potential impact of the biomechanical effects of a total patellectomy, and the presence of an intact extensor mechanism of the knee for a later reconstructive procedure. Patients with low functional demands may be managed with nonoperative methods; however, those who perform heavy physical work or participate in sports usually require open reduction and internal fixation. Tension band wiring is the treatment of choice for patients suitable for a reconstructive procedure. Partial or total patellectomy is also an option for small distal fragments or an inability to satisfactorily perform internal fixation.
Authors:
Senthil T Nathan; Brent E Fisher; Craig S Roberts; Peter V Giannoudis
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-08-01
Journal Detail:
Title:  International orthopaedics     Volume:  35     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-31     Completed Date:  2011-09-22     Revised Date:  2012-09-20    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  791-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Louisville, 210 E Gray Street, Suite 1003, Louisville, KY 40202, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Wires
Databases, Bibliographic
Female
Fracture Fixation, Internal
Fracture Healing
Fractures, Ununited / therapy*
Humans
Male
Middle Aged
Patella / injuries*,  surgery
Postoperative Complications
Time Factors
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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