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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-09-2018 | Knee

Neglected patella nonunion successfully treated after 8 years by quadriceps distractive lengthening with a spanning unilateral external fixation system

Authors: Odysseas Paxinos, Athanasios Karamitros, Panagiotis Douras, Nikolaos Kouris

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2018

Abstract

Neglected patella non-unions are rare. Contraction of the quadriceps makes late repair extremely difficult. A case of distal patella pole fracture neglected for 8 years is presented. The patient was a hemiplegic young female unable to walk due to extensor mechanism deficiency with a 10 cm retraction of the patella proximal pole at her neurologically intact side. The quadriceps was lengthened using a spanning unilateral external fixation system and the fragments successfully united after trans-osseous suture repair. At 4-year follow-up the patient was independently ambulating without symptoms with a functional knee range of motion.

Level of evidence IV.

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Title: Neglected patella nonunion successfully treated after 8 years by quadriceps distractive lengthening with a spanning unilateral external fixation system
Authors: Odysseas Paxinos
Athanasios Karamitros
Panagiotis Douras
Nikolaos Kouris
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-017-4738-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Neglected patella nonunion successfully treated after 8 years by quadriceps distractive lengthening with a spanning unilateral external fixation system

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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