Case Report
 
A novel technique for repairing a segmental patella fracture
Jay N. Patel1, Priyal V. Bhagat2, Juluru Rao1
1DO, RWJBarnabas Health, Jersey City Medical Center, Department of Orthopaedic Surgery, 355 Grand St, Jersey City, USA
2MD, Northwell Health, Lenox Hill Hospital, 130 E 77th Street, New York, USA

Article ID: Z01201801CR10876JP
doi:10.5348/ijcri-201807-CR-10876

Corresponding Author:
Jay N. Patel,
DO, RWJBarnabas Health, Jersey City Medical Center,
Department of Orthopaedic Surgery,
355 Grand St, Jersey City,
07302, USA

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How to cite this article
Patel JN, Bhagat PV, Rao J. A novel technique for repairing a segmental patella fracture. Int J Case Rep Images 2018;9(1):47–50.


ABSTRACT

Introduction: Patellar fractures account for 1% of all fractures. Fractures of the patella occur from either a direct impact or eccentric contraction of the extensor mechanism. Treatment is dependent on the fracture pattern, displacement, articular surface congruity, and the status of the patient’s extensor mechanism. Several techniques have been described for patellar fracture fixation.
Case Report: We present a case of a 60-year-old female who had a segmental fracture of the patella that included a small distal pole fragment. Initially, the fracture was fixed with lag screw fixation of the two major fragments. Subsequently, the small inferior pole fragment was fixed to the proximal construct with three-bone tunnel suture fixation technique.
Conclusion: This stable construct enabled us to start the patient on an early range of motion exercise program and has resulted in a good functional result at second-year follow-up. To our knowledge, this type of bony construct has not been reported before.

Keywords: Knee, Orthopedics, Patella fractures, Patella, Trauma


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Author Contributions
Jay N. Patel – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Priyal V. Bhagat – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Juluru Rao – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Jay N. Patel et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.