COMPARISON OF CLINICAL RESULTS AFTER PATELLECTOMY AND COMPRESSION EXTERNAL FIXATION IN AN INFECTED COMPLEX FRACTURE OF THE PATELLA

Abstract

Background: It is difficult to treat infected complex patella fractures with subcutaneous tissue scarring utilizing the extensor
technique. Previously, these fractures were treated by patellectomy; however, it is now recommended to keep the patella to
preserve the extensor mechanism's integrity.
Aim: The current study aims to compare the clinical results of patellectomy retrogradely and compression external fixation
by JESS fixator prospectively in infected complex 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.
Conclusions: The current study suggests that patellectomy is a better management choice in clinical outcomes for people
with infected compound patella fractures than external fixation. In the treatment of infected compound patella fractures,
patellectomy provides a greater range of mobility than external fixation.