Case report: The nest technique for management of a periprosthetic patellar fracture with severe bone loss

被引:1
作者
Anderson, Anthony W. [1 ]
Polga, David J. [1 ]
Ryssman, Daniel B. [1 ]
Trousdale, Robert T. [1 ]
机构
[1] Mayo Clin, Rochester, MN 55905 USA
关键词
Periprosthetic patellar fracture; Bone loss; TOTAL KNEE ARTHROPLASTY;
D O I
10.1016/j.knee.2008.12.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Periprosthetic patellar fracture with marked loss of bone stock presents a significant problem in total knee arthroplasty. Treatment outcomes are often unsatisfying and may lead to disruption of the extensor mechanism of the knee. We present a patient with a Type Illb periprosthetic patellar fracture treated by a novel approach. Three Steinmann pins were used to reduce the patella and form scaffold for bone graft and a patellar button was cemented into the construct. At 7 years followup, the patient has maintained excellent range of motion, reports no knee pain, has healed the patella fracture, and has restored patellar bone stock. (C) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:295 / 298
页数:4
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