Author/Authors :
P, Sa-ngasoongsong Department of Orthopaedics - Faculty of Medicine Ramathibodi Hospital - Mahidol University Bangkok, Thailand , K, Chulsomlee Department of Orthopaedics - Faculty of Medicine Ramathibodi Hospital - Mahidol University Bangkok, Thailand , S, Wongsak Department of Orthopaedics - Faculty of Medicine Ramathibodi Hospital - Mahidol University Bangkok, Thailand , C, Suphachatwong Department of Orthopaedics - Faculty of Medicine Ramathibodi Hospital - Mahidol University Bangkok, Thailand , V, Kawinwonggowit Department of Orthopaedics - Faculty of Medicine Ramathibodi Hospital - Mahidol University Bangkok, Thailand
Abstract :
Patellar fracture after total knee replacement (TKR) is one of the challenging problems in periprosthetic fracture. Open reduction with internal fixation (ORIF), as tension band wiring (TBW), usually required in cases with extensor mechanism disruption. However, many studies reported a
high failure rate after using this technique. In this report, we
presented an interesting case of periprosthetic patellar
fracture after TKR with TBW failure that was successfully treated with double non-locking reconstruction plates fixation and TBW augmentation.
Keywords :
Patella plating , periprosthetic fracture , dual plate , patellar fracture , total knee replacement
