Akash Tiwari*, Anu Ranjan and Madhav Khadilkar
Department of Orthopaedic Surgery, Bharati Vidyapeeth (Deemed to Be) University, Pune, Maharashtra, India
*Corresponding Author: Akash Tiwari, Department of Orthopaedic Surgery, Bharati Vidyapeeth (Deemed to Be) University, Pune, Maharashtra, India.
Received: May 19, 2022; Published: July 29, 2022
Patella fractures are relatively uncommon, constituting about 0.5-1.5% of all skeletal fractures. Out of this, vertical Patella fractures make upto 12-17% with open Patella fractures representing 6-30% and the comminuted fractures aggregate to 30-35%. Aim of this case report was to present a unique coalition of these three conditions with 360° articular rotation in one patient as well as treatment modality and successful outcome. A 30 years old female presented to Emergency department with Open injury to Left Knee, Gustilo and Anderson Grade IIIA following motorcycle accident. The X-ray investigation was suggestive of central longitudinal split in Patella with comminuted Medial half and intact Lateral half was rotated 360°.The patient was treated with emergency wound debridement, Medial facetectomy and subsequent suturing of Quadriceps tendon and Medial Retinaculum to remnant Patella resulting in a normal Patellar tracking. With a stable knee, the patient had good range of motion and no extension lag by end of 3 months.
Keywords: Open Patella Fracture; Longitudinal Split; Comminuted; Medial Facetectomy; 360° Articular Rotation
Citation: Akash Tiwari., et al. “A Rare Variant of Open Patella Fracture Treated with Medial Facetectomy". Acta Scientific Orthopaedics 5.8 (2022): 149-152.
Copyright: © 2022 Akash Tiwari., 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.