CLINICAL RESULTS OF PATELLECTOMY AND COMPRESSION EXTERNAL FIXATION FOR AN INFECTED COMPLEX FRACTURE OF THE PATELLA- A COMPARATIVE STUDY
Keywords:
compression external fixation, fracture, infected complex patella fractures, knee society clinical score, patellectomy.Abstract
Background: It is difficult to treat infected complex patella fractures with subcutaneous tissue scarring utilizing the extensor
technique. Earlier, these fractures were managed using patellectomy, however, recently, it has been advocated to retain the
patella to maintain the integrity of the extensor mechanism.
Aim: The present study was aimed to comparatively assess the clinical outcomes of patellectomy retrogradely and
compression external fixation by JESS fixator prospectively in infected compound fractures of the patella
Methods: The current study compared 10 previously performed patellectomy cases to prospectively performed comparable
instances treated with compression external fixation utilizing a JESS fixator in 10 individuals. Both groups were compared in
terms of knee joint range of movement as well as Knee Society clinical assessment six months after treatment completion.
Results: The study found that participants handled with patellectomy performed better than external fixation groups in terms
of knee joint range of motion and Knee Society clinical rating 6 months after treatment
