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Transosseous Tie Fixation Using Krackow Sutures and Bone Tunnels in a Comminuted Fracture of the Upper Pole of the Patella: A Case Report
Jong Seok Baik
J Trauma Inj. 2021;34(4):305-308.   Published online June 24, 2021
DOI: https://doi.org/10.20408/jti.2020.0083
  • 3,119 View
  • 74 Download
AbstractAbstract PDF

Comminuted fractures of the patella mostly occur at the inferior pole and require appropriate reduction and fixation to restore the extensor mechanism. Conventional methods such as tension-band wiring are not enough to gain proper fixation strength. Numerous methods have been reported, including circumferential cerclage wiring, osteosynthesis, and suture anchors depending on the fracture pattern. Herein, the author reports a relatively rare case of a comminuted fracture of the upper pole of the patella, for which we used augmented Krackow sutures in the quadriceps and fixation with tying of the suture limbs through patellar bone tunnels. Satisfactory results were obtained in terms of reduction and extensor mechanism recovery.

Summary
Traumatic Separation of Bipartite Patella Underlying Gout
Eun Seok Choi, Jae Ang Sim, Jae Yun Go, Young Gon Na
J Trauma Inj. 2018;31(3):189-193.   Published online December 31, 2018
DOI: https://doi.org/10.20408/jti.2018.028
  • 4,132 View
  • 49 Download
  • 1 Citations
AbstractAbstract PDF

Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella is a rare condition. This report presented a traumatic separation of bipartite patellar fragment caused by mild trauma in a patient with comorbid gout. When a patient with bipartite patella and underlying gouty arthritis complains of pain after trauma, clinical suspicion is needed about fragment separation of the bipartite patella.

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Citations

Citations to this article as recorded by  
  • Beyond Medical Treatment: Surgical Treatment of Gout
    Jonathan Carcione, Shari Bodofsky, Brian LaMoreaux, Naomi Schlesinger
    Current Rheumatology Reports.2021;[Epub]     CrossRef
Sleeve Fracture of the Superior Pole of Patella in an Adolescent
Moon Jib Yoo, Jae Sung Yoo, Jee Won Ryu
J Trauma Inj. 2013;26(3):218-221.
  • 1,065 View
  • 8 Download
AbstractAbstract PDF
A patella sleeve fracture is a type of avulsion fracture in which a small osseous fragment gets, along with a sleeve of periosteum and cartilage, is pulled off from the patella. The avulsed sleeve of cartilage and periosteum is not apparent on plain radiographs, which can result in a missed diagnosis or an underestimate of the extent of injury. An avulsion or sleeve fracture of the patella in a child can occur at the superior or the inferior pole of the patella. However, most reported cases of sleeve fractures involve the inferior patellar pole, with fractures involving the superior patellar pole being very rare. The authors report a case of a sleeve fracture of the superior pole of the patella in an adolescent; the fracture was diagnosed with magnetic resonance imaging (MRI) and was treated with surgery after early diagnosis. The course was uneventful, and the outcome was excellent.
Summary

J Trauma Inj : Journal of Trauma and Injury