Evaluating clinical and radiological results following surgical treatment of patella fractures

The aim of treating patella fractures is to restore the integrity of the extensor mechanism. Various treatment methods applied include fastening techniques with different wires, fastening with screws, a combined tension band method and screw technique, segmental patellectomy, a combined tension band method and segmental patellectomy technique, and total patellectomy. Fifty-two patients underwent surgery for isolated closed patella fractures between 2002 and 2012 at the Department of Orthopaedics and Traumatology. Of these 52 patients, 23 patients who completed their follow-up were clinically, radiologically, and retrospectively evaluated. Of the 23 patients, 13 (57%) were male and 10 (43%) were female. The functional status was regarded as excellent in 16 (70%) patients, good in six (26%), and unsatisfactory in one (4%) post-surgery. Radiological evaluation of the patients showed that there was type 1 PFA in five (22%) patients, type 2 PFA in five (22%), type 3 PFA in eight (35%), and type 4 PFA in five (22%). The degree of union was radiologically evaluated in all patients during the follow-ups. Implant irritation, implant migration, and fractures were the most frequently observed complications.

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