Outcome of Patients with Comminuted Fractures of Patella Treated with Claw Shape Plate, a case Series at a Tertiary Care Hospital
Saifullah Soomro, Asif Ali Shaikh, Zamir Ahmed Soomro, Jagdesh Kumar Ahuja
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ABSTRACT
Introduction: Comminuted fractures
of patella are usually dealt with partial or complete patellectomy which
compromise the extensor mechanism. Claw plate is newly introduced device to fix
comminuted fractures, which provide easy and efficacious method of preserving
patella and is used in selected cases.
Methods: This prospective
observational case series was conducted at orthopaedic department Chandka
Medical College (SMBBMU) Larkana from March 2020 to May 2021.
Twenty one cases were selected via
consecutive sampling with comminuted fracture of patella who were treated with
newly introduced claw shape patellar plate. Age of patients was ranging from 18
years to 70 years. All patients were admitted in tertiary care hospital and
were operated by senior surgeon. During procedure patella was approached
through anterior mid line incision over knee, fracture reduced and fixed with
claw shape patella plate. Post operatively patients were assessed on subsequent
follow up visits and outcome of procedure was observed on the basis of
functional (Clinical) and radiological results. The functional (clinical) outcome
was measured on basis of Lysholm knee score and radiologically x-rays of knee
were done to see union pattern. Final outcome of procedure was concluded after
6 month of operation.
Results of all patients were compiled and
analysed by using statistical package for Social Sciences (SPSS) Version 21
Results: Twenty one patients
were enrolled in our study, among them 15(71.4%) were male and six (28.6) were
female; the mean age of patients was 42.52 years. The mean length of operation
was 55 minutes (40 to 72 minutes). Bone union on radiograph was observed at
20th weeks after surgery in all patients, mean age of fracture healing was 11.5
weeks, (Ranges from 6th to 20th week).
At final evaluation found excellent results in 12 (71%) patients, five (29%)
patients obtain good results, while four patients lost follow up.
Conclusions: Partial or complete
patellectomy can be avoided in comminuted patella fractures and patella can be
preserved in these fractures by using claw shape patella plate.
Keywords: Comminuted fractures,
Patella, Claw plate.
ABSTRACT
Introduction: Comminuted fractures
of patella are usually dealt with partial or complete patellectomy which
compromise the extensor mechanism. Claw plate is newly introduced device to fix
comminuted fractures, which provide easy and efficacious method of preserving
patella and is used in selected cases.
Methods: This prospective
observational case series was conducted at orthopaedic department Chandka
Medical College (SMBBMU) Larkana from March 2020 to May 2021.
Twenty one cases were selected via
consecutive sampling with comminuted fracture of patella who were treated with
newly introduced claw shape patellar plate. Age of patients was ranging from 18
years to 70 years. All patients were admitted in tertiary care hospital and
were operated by senior surgeon. During procedure patella was approached
through anterior mid line incision over knee, fracture reduced and fixed with
claw shape patella plate. Post operatively patients were assessed on subsequent
follow up visits and outcome of procedure was observed on the basis of
functional (Clinical) and radiological results. The functional (clinical) outcome
was measured on basis of Lysholm knee score and radiologically x-rays of knee
were done to see union pattern. Final outcome of procedure was concluded after
6 month of operation.
Results of all patients were compiled and
analysed by using statistical package for Social Sciences (SPSS) Version 21
Results: Twenty one patients
were enrolled in our study, among them 15(71.4%) were male and six (28.6) were
female; the mean age of patients was 42.52 years. The mean length of operation
was 55 minutes (40 to 72 minutes). Bone union on radiograph was observed at
20th weeks after surgery in all patients, mean age of fracture healing was 11.5
weeks, (Ranges from 6th to 20th week).
At final evaluation found excellent results in 12 (71%) patients, five (29%)
patients obtain good results, while four patients lost follow up.
Conclusions: Partial or complete
patellectomy can be avoided in comminuted patella fractures and patella can be
preserved in these fractures by using claw shape patella plate.
Keywords: Comminuted fractures,
Patella, Claw plate.