TOTBİD Dergisi

TOTBİD Dergisi

2017, Cilt 16, Sayı, 6     (Sayfalar: 573-576)

Evaluation of current literature on non-union and delayed union in patellar fractures –current treatment approaches

Gökhan Özkazanlı 1, Hakan Başar 1

1 Sağlık Bilimleri Üniversitesi Gaziosmanpaşa Taksim Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.14292/totbid.dergisi.2017.76
Görüntüleme: 515
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İndirme : 585

Non-union and delayed non-union in patella fractures are very uncommon. The main goal in treat-ment of the neglected, delayed or non-union of patellar fracture is restoring the extensor mechanism and improving the functional capacity. There is no standard treatment method since non-union is scarce. Teratment strategy is based on the patients expectation, the reason for nonunion and previ-ous surgery. Conservative treatment can be the first option for low demanding patients with low func-tional capacity, while surgery can be the choice for high demanding patients with high functional capaci- ty. Open reduction and internal fixation is the most common method of choice. Partial patellectomy can be performed in multifragmental and upper pole fractures taking into consideration the biome-chanic effects of patellectomy. For the neglected and displaced fractures with a gap which could not be fixed primarly, two staged surgery or quadriceps lengthening can be the choice for treatment.

Anahtar Kelimeler : patellar fractures; non-union; delayed union