Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 8

A Rare Variant of Open Patella Fracture Treated with Medial Facetectomy

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


  1. Larangeira JA., et al. “Vertical open patella fracture, treatment, rehabilitation and the moment to fixation”. Journal of Clinical Medicine Research 2 (2015): 129-133.
  2. Müller ME., et al. “Manual of internal fixation: techniques recommended by the AO-ASIF group”.Berlin: Springer (1991).
  3. Court-Brown CM., et al. “Rockwood and Green's Fractures in Adults. 2. 8th New Delhi: Wolters Kluwer (India); 2015. Fractures of the Patella and Injuries to the Extensor Mechanism (2015): 2269-2302.


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.


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