Executive Editor: Chris Colton

Authors: Florian Gebhard, Phil Kregor, Chris Oliver

Patella

back to skeleton

Glossary

Extraarticular avulsion fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Salvage techniques Distal fragment too fragmented to repair Highly experienced and skilled surgeon Simple surgical and imaging resources
Sleeve fracture fixation Sleeve fracture with impaired extensor function Some specialized surgical experience Simple surgical and imaging resources
Suture repair Distraction with impaired extensor function Some specialized surgical experience Simple surgical and imaging resources

Partial articular, lateral sagittal simple fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Long leg cast then hinged knee brace Undisplaced fractures Basic surgical experience, no specialized skills Basic equipment only
Lag screws Displaced fractures Some specialized surgical experience Simple surgical and imaging resources

Partial articular, lateral sagittal fragmentary fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Long leg cast then hinged knee brace Undisplaced fractures Basic surgical experience, no specialized skills Basic equipment only
Lag screws Displaced fractures; surgeon's preference Highly experienced and skilled surgeon Simple surgical and imaging resources
Cerclage wire Displaced fractures; surgeon's preference Highly experienced and skilled surgeon Simple surgical and imaging resources

Partial articular, medial sagittal simple fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Long leg cast then hinged knee brace Undisplaced fractures Basic surgical experience, no specialized skills Basic equipment only
Lag screws Articular displacement, lateral instability of the patella Highly experienced and skilled surgeon Simple surgical and imaging resources

Partial articular, medial sagittal fragmentary fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Long leg cast then hinged knee brace Undisplaced fractures Basic surgical experience, no specialized skills Basic equipment only
Cerclage wire Lateral instability of the patella; surgeon's preference Some specialized surgical experience Simple surgical and imaging resources
Lag screws Lateral instability of the patella; surgeon's preference Highly experienced and skilled surgeon Simple surgical and imaging resources

Complete articular, frontal/coronal simple fracture of the middle and proximal third

Please select a treatment option:
Treatment Indication summary Skill Equipment
Tension band wiring All displaced frontal/coronal (transverse) fractures Some specialized surgical experience Simple surgical and imaging resources

Complete articular, frontal/coronal simple fracture of the distal third

Please select a treatment option:
Treatment Indication summary Skill Equipment
Tension band wiring Distraction with impaired extensor function Some specialized surgical experience Simple surgical and imaging resources
Salvage techniques Distal fragment too fragmented to repair Highly experienced and skilled surgeon Simple surgical and imaging resources
Suture repair Distraction with impaired extensor function Some specialized surgical experience Simple surgical and imaging resources

Complete articular, frontal/coronal wedge fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Cerclage wire Joint surface reconstructable Highly experienced and skilled surgeon Simple surgical and imaging resources
Salvage techniques Split fragment cannot be repaired Highly experienced and skilled surgeon Simple surgical and imaging resources

Complete articular, frontal/coronal multifragmentary fracture

Please select a treatment option:
Treatment Indication summary Skill Equipment
Cerclage wire Joint surface reconstructable Highly experienced and skilled surgeon Simple surgical and imaging resources
Salvage techniques Patella too fragmented to reconstruct Highly experienced and skilled surgeon Simple surgical and imaging resources

Special considerations

Principles of management of open fractures
Infection
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2008-12-03