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Patellar fractures--a review of classification, genesis and evaluation of treatment [Zlomeniny pately - přehled klasifikací, vývoj a hodnocení léčby]
M. V. Neumann, P. Niemeyer, N. P. Südkamp, P. C. Strohm
Language English Country Czech Republic
Document type Journal Article, Review
PubMed
25514337
Knihovny.cz E-resources
- MeSH
- Fractures, Bone * classification diagnosis etiology surgery MeSH
- Bone Wires MeSH
- Bone Screws MeSH
- Humans MeSH
- Patella injuries surgery MeSH
- Fracture Fixation, Internal adverse effects methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
The patellar bone is involved in repetitive, load bearing motion sequences every day and functions as a vectorial force translator. A fracture rate of 1% of all skeletal fractures is reported and surgical treatment often required. beside a direct trauma mechanism, indirect mechanism but as well as fatigue fractures after reconstructive knee surgery are published. The fracture management is dependent on the soft tissue condition and a variety of surgical options are known. new generation of low profile plates show promising results but the conventional cerclage wiring technique with K-wires is widely preferred. best functional results with sustainable stability are biomechanically seen after a combined fixation technique using anterior cerclage wiring with cannulated screw fixation. A definite algorithm of treatment of patellar bone fractures is yet not defied but a review of classification and surgical techniques should give assistance in decision making.
Zlomeniny pately - přehled klasifikací, vývoj a hodnocení léčby
Literatura
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