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Treatment may be with or without surgery, depending on the type of fracture. [2] Undisplaced fracture can usually be treated by casting . [ 2 ] Even some displaced fractures can be treated with casting as long as a person can straighten their leg without help. [ 2 ]
Patella, its tendon and tibial tuberosity. The condition is usually seen in athletic individuals typically between 10 and 14 years of age. Following a strain or partial rupture of patellar ligament the patient develops a traction ‘tendinitis’ characterized by pain and point tenderness at the inferior (lower) pole of the patella associated with focal swelling.
With a tourniquet applied, the tendon is exposed through a midline longitudinal incision extending from the upper patellar pole to the tibial tuberosity. The tendon is either avulsed (detached) from the lower patellar pole or lacerated. Even so, the continuity and tone of the tendon should be restored, taking into consideration the patellar height.
Patella fracture, arthritis [3] Usual onset: 10 to 17 years old [4] Duration: Recovery within 6 weeks [5] Causes: Bending the lower leg outwards when the knee is straight, direct blow to the patella when the knee is bent [1] [2] Risk factors: High riding patella, family history, loose ligaments [1] Diagnostic method: Based on symptoms, X-rays ...
The bones of the knee are the femur, patella, tibia, and fibula. The fibula is on the lateral side of the knee and the patella has little effect on the medial side of the knee. The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau.
The patella rests in the trochlear, which is found in the distal part of the femur. The patella can dislocate from the groove because of trauma or an unnatural twisting of the knee. [5] When dislocated, the soft tissue layer that the patella rests in is damaged; the patella is forced out of its groove and back into place.
On a normal radiograph, the line intersects the inferior pole of the patella, and so can be useful in diagnosing a broken femur as well as a patellar tendon rupture. It also helps to define "Schottle point" intra-operatively for reconstruction of MPFL(Medial patello-femoral ligament.) [3] It may also be used to describe the course of an ACL graft.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
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