Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report
Comminuted fractures of the patella mostly occur at the inferior pole and require appropriate reduction and fixation to restore the extensor mechanism. Conventional methods such as tension-band wiring are not enough to gain proper fixation strength. Numerous methods have been reported, including cir...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2021-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2020-0083.pdf |
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| _version_ | 1841527098066337792 |
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| author | Jong Seok Baik |
| author_facet | Jong Seok Baik |
| author_sort | Jong Seok Baik |
| collection | DOAJ |
| description | Comminuted fractures of the patella mostly occur at the inferior pole and require appropriate reduction and fixation to restore the extensor mechanism. Conventional methods such as tension-band wiring are not enough to gain proper fixation strength. Numerous methods have been reported, including circumferential cerclage wiring, osteosynthesis, and suture anchors depending on the fracture pattern. Herein, the author reports a relatively rare case of a comminuted fracture of the upper pole of the patella, for which we used augmented Krackow sutures in the quadriceps and fixation with tying of the suture limbs through patellar bone tunnels. Satisfactory results were obtained in terms of reduction and extensor mechanism recovery. |
| format | Article |
| id | doaj-art-5a18c4e3aa884e57b7a84b4d4142191b |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-5a18c4e3aa884e57b7a84b4d4142191b2025-01-16T04:50:51ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832021-12-0134430530810.20408/jti.2020.00831074Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case ReportJong Seok Baik0 Department of Orthopedic Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, KoreaComminuted fractures of the patella mostly occur at the inferior pole and require appropriate reduction and fixation to restore the extensor mechanism. Conventional methods such as tension-band wiring are not enough to gain proper fixation strength. Numerous methods have been reported, including circumferential cerclage wiring, osteosynthesis, and suture anchors depending on the fracture pattern. Herein, the author reports a relatively rare case of a comminuted fracture of the upper pole of the patella, for which we used augmented Krackow sutures in the quadriceps and fixation with tying of the suture limbs through patellar bone tunnels. Satisfactory results were obtained in terms of reduction and extensor mechanism recovery.http://jtraumainj.org/upload/pdf/jti-2020-0083.pdfpatellafractures, comminutedtransosseous fixation |
| spellingShingle | Jong Seok Baik Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report Journal of Trauma and Injury patella fractures, comminuted transosseous fixation |
| title | Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report |
| title_full | Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report |
| title_fullStr | Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report |
| title_full_unstemmed | Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report |
| title_short | Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report |
| title_sort | transosseous tie fixation using krackow sutures and bone tunnels in a comminuted fracture of the upper pole of the patella a case report |
| topic | patella fractures, comminuted transosseous fixation |
| url | http://jtraumainj.org/upload/pdf/jti-2020-0083.pdf |
| work_keys_str_mv | AT jongseokbaik transosseoustiefixationusingkrackowsuturesandbonetunnelsinacomminutedfractureoftheupperpoleofthepatellaacasereport |