Kwire, fracture displacement, wound infection or nonunion. Non displaced fractures with an intact extensor mechanism can be treated nonoperatively. Patella fracture is a fracture consisting 1% of all extremity fractures, and among them, transverse type otaao 34c1 is the most common. Orif patella fracture postoperative rehabilitation protocol name. In this article, we will cover rehabilitation and physiotherapy for the patella fracture condition after the surgery. Nonsurgical treatment of patella fractures nyu langone. Patella fracture exercisesphysiotherapy recoveryby dr. A patellar fracture is a break in the patella, or kneecap, the small bone that sits at the front of your knee. The treatment of patella fracture depends upon the type of fracture one has sustained. Displaced fractures are unstable and can be further classified as.
Complications after patella fracture are not rare and potentially. Nonsurgical management is indicated for nondisplaced fractures with an intact extensor mechanism. A large tendon, called the quadriceps tendon, covers the patella and connects the thigh muscles to the lower leg bone. Surgical treatment of comminuted patellar fractures by a. For nondisplaced and dislocated noncomminuted transverse patellar fractures 2part modified anterior tension band wiring is the treatment of choice and can. Current treatment strategies for patella fractures. Nonmetallic implant for patellar fracture fixation. For nondisplaced and dislocated noncomminuted transverse patellar fractures 2part modified anterior tension band wiring is the treatment. Patellar fractures acta chirurgiae orthopaedicae et traumatologiae. A simple hairline fracture only requires posterior slab immobilization, but a complicated displaced or comminuted fracture need kwire surgery. Surgical treatment is recommended for fractures that. Weightbearing as tolerated with the knee locked in extension. Knee immobilizer will be converted to a hinged knee brace at the first postop visit.
Pdf current treatment strategies for patella fractures. Surgical fixation is recommended for fractures that either. Because the patella acts as a shield for your knee joint, it is vulnerable to fracture if you fall directly onto your knee or hit it against the dashboard in a vehicle collision. Patella fractures are classified as either displaced or non displaced. Take immobilizer off only for physical therapy sessions. Displaced patella fractures typically present with.
Patella fracture post operative physiotherapy demonstrated by dr bimal kumar deypt, consultant physiotherapist. Electrotherapy and exercise therapy with step by step rehabilitation explained. Orif patella fracture postoperative rehabilitation protocol. Nondisplaced fractures with an intact extensor mechanism can be treated nonoperatively. Practical guidelines for the treatment of patellar fractures in adults. As a result of direct trauma mostly due to blows or falls on flexed knee can cause damage to the articular cartilage of patella and femoral condyles. Nonsurgical treatment of patella fractures doctors can sometimes treat people with a patella, or kneecap, fracture without surgery. Patella fracture orif, rehabilitation or non operative treatment. Nonoperative treatment could be discussed in non displaced or minimally displaced fractures with an intact extensor mechanism. Find, read and cite all the research you need on researchgate.
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