Feigoudozoui Hermann Victoire*, Soumaro Kanaté Daouda and Boka Eva Rébecca

Departement of Orthopaedic Surgery and Traumatology, University Hospital of Yopougon, Félix Houphouët-Boigny University, Côte d’Ivoire

*Corresponding Author: Feigoudozoui Hermann Victoire, Departement of Orthopaedic Surgery and Traumatology, University Hospital of Yopougon, Félix Houphouët-Boigny University, Côte d’Ivoire.

Received: December 27, 2021; Published: April 14, 2022

Abstract

Objective: To describe the factors that influence the functional outcome of surgical treatment of open patella fractures.

Method: A retrospective study for 5 years (January 2016 - December 2021) included records of open patella fractures. Treatment was exclusively surgical by guying. The minimum follow-up period was 6 months. The results were evaluated according to the Castaing score.

Results: Sixteen patients with 16 open patella fractures were selected, including two women. The mean age was 38.7 years (extremes: 26 and 64). According to the Gustillo classification, there were two type IIIA injuries. According to the Ricard-Moulay classification, two fractures were classified as type III. All fractures were treated by guying and were cured at recoil. Four fractures were complicated by infection of the surgical site. Two cases of knee stiffness were also remained. Functional results were good in 12 cases according to the Castaing score.

Conclusion: Two main clinical elements may affect the functional prognosis: skin opening and comminution of the fracture line.

Keywords: Functional; Results; Patella; Open

References

1. Neyret P. “From patella fracture to patellofemoral osteoarthritis. SOFCOT teaching notebooks”. Scientific Expansion 71 (1999): 103-115.
2. Gnandi-Piou F., et al. “Fractures of patella in adults”. European Scientific Journal36 (2018): 37-44.
3. Abalo A., et al. “Patella fractures: Epidemiological, therapeutic and evolutionary aspects at the Sylvanus Olympio University Hospital”. Journal de la Recherche Scientifique de l'Université de Lomé Togo3 (2013): 32-35.
4. Dargel J., et al. “ Biomechanical comparison of tension band-and interfragmentary screw fixation with a new implant in transverse patella fractures”. Injury - International Journal of the Care of the Injured 41 (2010): 156-160.
5. Lefaivre K.A., et al. “Modified tension band technique for patella fractures”. Orthopaedics and Traumatology: Surgery and Research 96 (2010): 579-582.
6. Caudane H., et al. “Ruptures of the extensor apparatus of the knee”. Encycl. Med. Chir. (Elsevier, Paris), Musculoskeletal system (1999): 14-081-A-10; 12.
7. Ricard L., et al. “Fractures of the patella. SOFCOT teaching notebooks”. Expansion Scientifique Française, Edit., Paris. 1 (1975): 75-91.
8. Mehdi M., et al. “Results of the treatment of fractures of the patella by pre-patellar guying: analysis of a series of 203 cases”. Acta Orthopaedica Belgica2 (1999): 188-196.
9. Atia R., et al. “Patella fractures-wire strapping treatment-about 247 cases”. RCOT 101 (2015): 138-258.
10. Tekpa BJD., et al. “Prevention of surgical site infections in orthopaedics in a developing country”. RCOT 103 (2017): 823-827.
11. Ben Ayeche ML., et al. “Osteosynthesis of fractures of the patella respecting the principle of Hauban: about 126 cases”. Medical Tunisia1 (1990): 9-12.
12. Menetrey J., et al. “Techniques and results of partial and total patellectomies”. Springer Paris 10 (2005): 255-264.
13. Vasilevsky D., et al. “Rescue technique for comminutive fractures of the patella”. International Orthopaedics (SICOT) 20 (1996): 216-217.
14. Ralahy MF., et al. “Factors of poor functional outcome of a patella fracture”. Kinesithérapie, the Review203 (2018): 11-14.
15. Manou BK., et al. “Functional and socio-professional consequences of lower limb fractures seen in physical medicine and rehabilitation in Abidjan”. Journal de Réadaptation Médicale : Pratique et Formation en Médecine Physique et de Réadaptation 1-2 (2004): 32-34.

Citation

Citation: Feigoudozoui Hermann Victoire., et al. “Functional Prognosis of Open Patella Fractures Treated by Guying at Yopougon University Hospital: Study of 16 Cases". Acta Scientific Medical Sciences 6.5 (2022): 26-30.

Copyright

Copyright: © 2022 Feigoudozoui Hermann Victoire., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.