Surgical methods for patellar fracture

We have seen many people with patellar fractures, which have a great impact on our body. Patellar fractures are very painful and often make us endure excruciating pain. Many people cannot tolerate the pain. Indeed, the pain from a fractured bone is life-threatening. Many people will go to an orthopedic hospital for treatment. The level of patellar fracture surgery is getting higher and higher nowadays, but we should also understand our own fracture situation before undergoing surgery and must not seek medical treatment blindly. Let us learn about it together.

Surgical method:

1. Manual reduction: The patient lies on his back with his knees straight. The surgeon stands on the affected side and pinches the distal end with the thumb, index finger and middle finger of one hand, pushes it upward and fixes it. Use the thumb, index and middle fingers of the other hand to pinch the inner and outer sides of the proximal upper edge and push downward to bring the fracture ends closer and into alignment. If the front of the patella is uneven when touched with your fingers or there is residual anterior-posterior displacement on X-ray, you can use the thumb and index finger of one hand to fix the sunken end, and use the thumb and index finger of the other hand to press the other end that protrudes forward to align them. Once you are satisfied with the alignment, you can fix it.

2. Fixation: (a) Plaster support or tube fixation: This method is suitable for non-displaced patellar fractures. No manual reduction is required. The blood accumulated in the joint is drained and then bandaged. Use a long-leg plaster brace or plaster tube to fix the affected limb in an extended position for 3 to 4 weeks. During this period, practice quadriceps contraction. After removing the plaster, practice knee flexion and extension. (ii) Fixation with a knee-hugging ring: This method can be used when there is no displacement or little displacement (separation and displacement does not exceed 0.5 cm). Because the fracture is easy to reduce and relatively stable, use a bandage to measure the size of the patellar contour, make a circle, wrap it with cotton, wrap the outer layer with a bandage, and add four cloth strips, each 60cm long. A support plate is placed on the back side, with a length from the middle of the thigh to the middle of the calf, a width of 13cm and a thickness of 1cm, and screws are added on both sides of the middle of the plate for fixing. After satisfactory fracture reduction, place the affected knee on a support board and pad the back of the knee joint and around the patella with cotton. Place the knee hugger around the patella. The fixing belts are respectively tied to the rear side pallets. If the swelling subsides, reduce the knee hugging circle according to the size of the patellar contour after the swelling subsides. Continue fixation until the fracture heals.

(III) Patellar claw fixation: For patellar fractures with obvious separation and displacement, the patellar claw (patellar grasper) can be used for fixation, and the therapeutic effect is quite satisfactory.

The above content introduces us to patellar fracture surgery. When our patella is accidentally fractured, we can use the above method to go to an orthopedic hospital for treatment in a timely and effective manner, so that we can better recover our health and save more people from pain.