Patella Fractures: From Diagnosis to Recovery
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Patella or #Kneecap fractures make up about 1% of broken bone injuries. #Patellafractures typically occur from direct trauma or sudden muscle contractions, and proper treatment is crucial for maintaining knee function! Diagnosis involves:
- Clinical examination for extensor mechanism disruption
- Standard radiographs (AP, lateral, oblique views)
- CT scanning for complex fracture patterns
- Assessment of displacement and articular congruity
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Treatment decision-making depends on:
- Fracture pattern (transverse, vertical, or comminuted)
- Displacement (>3mm gap or step-off)
- Extensor mechanism integrity
- Patient factors (age, activity level, bone quality)
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Broken Kneecap treatment options have evolved:
- Non-operative management (nondisplaced fractures)
- Traditional tension band wiring (TBW)
- Modern techniques including cannulated screws, low-profile locking plates, Fibertape and novel approaches using suture techniques
💡 Interesting fact: The patella experiences forces up to 7x body weight during squatting! That’s why stable fixation is crucial for early mobilization and optimal outcomes.
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