Fractures of Patella: Prospective Analysis of a Series of 51 Cases  

作　　者：Pierre Germain Ochou Jr Adélaïde Aya Natacha Kouassi Achié Jean Régis Akobe Zolopegué Marcel Soro Ibrahim Soumahoro Koffi Léopold Krah Michel Kodo Pierre Germain Ochou Jr;Adélaïde Aya Natacha Kouassi;Achié Jean Régis Akobe;Zolopegué Marcel Soro;Ibrahim Soumahoro;Koffi Léopold Krah;Michel Kodo(Surgical Department, Regional Hospital of San-Pedro, San-Pedro, Ivoiry Coast;Orthopeadics, Traumatology Department, University Hospital of Bouak (Alassane Ouattara University), Bouak, Ivoiry Coast)

机构地区：[1]Surgical Department, Regional Hospital of San-Pedro, San-Pedro, Ivoiry Coast [2]Orthopeadics, Traumatology Department, University Hospital of Bouak (Alassane Ouattara University), Bouak, Ivoiry Coast

出　　处：《Open Journal of Orthopedics》2024年第11期535-546,共12页矫形学期刊（英文）

摘　　要：Introduction: The patella is a key component of the knee’s extensor system. Fractures of the patella can be treated using a variety of methods. The objective of this study was to describe the epidemiological, anatomical-clinical, therapeutic and evolutionary aspects. Methods: This was a prospective, observational, analytic study conducted from January 2018 to December 2021. It concerned all patients over 15 years of age treated surgically for a patella fracture. The variables to be studied were epidemiological, anatomo-clinical, therapeutic and evolutionary. Statistical analysis was performed using the Chi-square test and Fisher’s exact test. Results: It concerned 51 cases. There were 39 men and 12 women. The average age was 35.13 years. The fracture was caused in 78.5% of cases by a road traffic accident. The main fracture was transverse (49.1%). Tension band technique predominated (92.1%). Complications included superficial suppuration (n = 7) and irritation of the material (n = 7). Mean time to consolidation was 66.39 days. Bösman scores were Excellent (n = 23;45.10%). Some patients presented osteoarthritic knee symptoms (n = 14;27.45%), and no pseudarthrosis. Conclusion: Patella fractures are rare. Surgical treatment gives good results, and the choice of method depends essentially on the anatomo-clinical characteristics of the fracture. Kinesitherapy is an essential and important weapon in functional recovery.Introduction: The patella is a key component of the knee’s extensor system. Fractures of the patella can be treated using a variety of methods. The objective of this study was to describe the epidemiological, anatomical-clinical, therapeutic and evolutionary aspects. Methods: This was a prospective, observational, analytic study conducted from January 2018 to December 2021. It concerned all patients over 15 years of age treated surgically for a patella fracture. The variables to be studied were epidemiological, anatomo-clinical, therapeutic and evolutionary. Statistical analysis was performed using the Chi-square test and Fisher’s exact test. Results: It concerned 51 cases. There were 39 men and 12 women. The average age was 35.13 years. The fracture was caused in 78.5% of cases by a road traffic accident. The main fracture was transverse (49.1%). Tension band technique predominated (92.1%). Complications included superficial suppuration (n = 7) and irritation of the material (n = 7). Mean time to consolidation was 66.39 days. Bösman scores were Excellent (n = 23;45.10%). Some patients presented osteoarthritic knee symptoms (n = 14;27.45%), and no pseudarthrosis. Conclusion: Patella fractures are rare. Surgical treatment gives good results, and the choice of method depends essentially on the anatomo-clinical characteristics of the fracture. Kinesitherapy is an essential and important weapon in functional recovery.

关 键 词：Patella FRACTURE Haubanage PATELLECTOMY Kinesitherapy 

分 类 号：R49[医药卫生—康复医学]