Abstract
Background
The traditional recommendation for displaced comminuted inferior pole fractures is excision of the comminuted pole followed by reattachment of the patellar tendon with transosseous suture. To the best of our knowledge there has been no previous published study mentioning the use of suture anchors for fracture inferior pole of patella. We present a retrospective analysis of five cases of patients doing well at final follow-up of two years.
Materials and Methods
Five patients treated at our institute using suture anchors for repair of comminuted inferior pole fractures of patella between January 2007 to March 2007. (range 28 years-55 years). There were three males and two females.
Results
The average follow-up was 25 months (range 24 months-26 months). The patients were evaluated for range of motion, strength, patellofemoral scores and any alteration of patellar height. The outcome of the procedure was assessed with use of the patellofemoral scoring system of Noyes et al,5 as adapted by Saltzman et al.6 The final patellofemoral score (maximum 100 points) was 94.6 (range 93-96).
Conclusion
We believe it is a novel extended indication of the use of suture anchors and should be in the armament of every trauma surgeon.
Similar content being viewed by others
References
Carpenter JE, Kasman R, Matthews LS. Fractures of the patella. Instr Course Lect 1994;43:97–108 Review.
Johnson EE. Fractures of the patella. In: Rockwood CA, Green DP, editors. Fracture of Adults. Vol 2. 6th ed. Philadelphia: Lippincott William; 2006. p. 1956–72.
Whittle AP. Fractures of Lower extremity. In: Canale ST, Beaty JH, editors. Campbells Operative Orthopedics Vol 3. 11th ed. St Louis: Mosby; 2008. p. 3161–9.
Veselko M, Kastelec M. Inferior patellar pole avulsion fractures: Osteosynthesis compared with pole resection: Surgical technique. J Bone Joint Surg Am 2005;87:113–21.
Noyes FR, McGinniss GH, Mooar LA. Functional disability in the anterior cruciate insufficient knee syndrome: Review of knee rating systems and projected risk factors in determining treatment. Sports Med 1984;1:278–302.
Saltzman CL, Goulet JA, McClellan T, Schneider LA, Matthews LS. Results of treatment of displaced patellar fractures by partial patellectomy. J Bone Joint Surg Am 1990;72:1279–85.
Duthie HL, Hutchinson JR. The results of partial and total excision of the patella. J Bone Joint Surg Br 1958;40:75–81.
Marder RA, Swanson TV, Sharkey NA, Duwelius PJ. Effects of partial patellectomy and reattachment of the patellar tendon on patellofemoral contact areas and pressures. J Bone Joint Surg Am 1993;75:35–45.
Perry CR, McCarthy JA, Kain CC, Pearson RL. Patellar fixation protected with a load sharing cable: A mechanical and clinical study. J Orthop Trauma 1988;2:234.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Anand, A., Kumar, M. & Kodikal, G. Role of suture anchors in management of fractures of inferior pole of patella. IJOO 44, 333–335 (2010). https://doi.org/10.4103/0019-5413.65149
Published:
Issue Date:
DOI: https://doi.org/10.4103/0019-5413.65149