Universität zu Köln

Springorum, H. -P., Siewe, J., Dargel, J., Schiffer, G., Michael, J. W. P. and Eysel, P. (2011). Classification and treatment of patella fractures. Orthopade, 40 (10). S. 877 - 884. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2 mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2 mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) need exact reconstruction of the joint surface. In elderly patients conservative treatment or surgical patella-enclosing wiring techniques for stabilization are the best options due to low bone quality.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Springorum, H. -P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dargel, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffer, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michael, J. W. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-488044
DOI:	10.1007/s00132-011-1780-z
Journal or Publication Title:	Orthopade
Volume:	40
Number:	10
Page Range:	S. 877 - 884
Date:	2011
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FIXATION Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48804