Bilateral patella fracture with unilateral refracture: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205586Keywords:
Bilateral patella fracture, Re-fractureAbstract
Patella fracture consists of approximately 1% of all skeletal fractures. However bilateral patella fracture is even rarer (2-3% of all patella fractures) and is seen mostly in either dash board injuries or in different pathological conditions. A 21 year old male presented with bilateral patella fracture, where right patella was fractured due to RTA and the left one got fractured due to a fall while he was being helped for an X-ray for the first one. Bilateral tension band wiring was done and patient was being regularly followed up with good range of movement recovery. But again he had a fall in bathroom 3 month post-operative and on right side suffered a re-fracture. Modified tension band wiring was done. Patient gained full range of movement on both sides and returned to his normal activities at 9 months post op of index surgery. A case of bilateral patella fracture where mechanism of fracture for each patella fracture are different is unheard of. A case of bilateral patella fracture with re-fracture has not been reported yet in literature so far we know/ searched. Here we report and discuss the challenges in management of such a case and protocol we followed.
Metrics
References
Esmailiejah AA, Keipourfard A, Hashemi Y. Isolated Bilateral Traumatic Patellar Fracture: A Case Report. American Journal of Medical Case Reports. 2016;4(6):186-89.
Madi S, Naik M, Rao S, Vijayan S. Simultaneous, Isolated Traumatic Bilateral Patella Fractures. Trauma. 2016;21(1):e20244.
Vinay G, Zile K, Rakesh G, Gaurav S. Bilateral traumatic patellar fracture: A case report and review of literature. Chinese Journal of Traumatology. 2012;15(3):188-91.
Malone A, Kiernan D, Brien TO. Bilateral sleeve fractures of the patella in a 12-year-old boy with hereditary spastic paraparesis and crouch gait. BMJ Case Rep. 2013;2013:bcr2013202217.
Wild M, Thelen S, Jungbluth P, Betsch M, Miersch D, Windolf J et al. Fixed-angle plates in patella fractures - a pilot cadaver study. Eur J Med Res. 2011;16(1):41-6.
Scolaro J, Bernstein J, Ahn J. In Brief: Patellar Fractures. Clin Orthop Relat Res. 2011;469(4):1213-15.
Kellersmann R, Blattert TR, Weckbach A. Bilateral Patellar Tendon Rupture Without Predisposing Systemic Disease or Steroid Use: A Case Report and Review of the Literature. Arch Orthop Trauma Surg. 2005;125(2):127-33.
Gardner MJ, Griffith MH, Lawrence BD, Lorich DG. Complete exposure of the articular surface for fixation of patellar fractures. J Orthop Trauma. 2005;19(2):118-23.
Yang TY, Huang TW, Chuang PY. Treatment of displaced transverse fractures of the patella: modified tension band wiring technique with or without augmented circumferential cerclage wire fixation. BMC Musculoskelet Disord. 2018;19:167.
Van Raay JJ, van Loon A, Wissing JC, van der Werken C. Partiële en totale patellectomie als behandeling van de comminutieve patellafractuur [Partial and total patellectomy as treatment of comminuted patella fracture]. Ned Tijdschr Geneeskd. 1990;134(27):1308-311.
Desault PJ. Treatise on Fractures, Luxations and Other Affections of the Bones. Translated by Chas. 3d ed. Caldwell. 1817;299.
Moretti B, Speciale D, Garofalo R, Moretti L, Patella S, Patella V. Spontaneous bilateral fracture of patella. Geriatr Gerontol Int. 2008;8(1):55-8.
Anand S, Hahnel JC, Giannoudis PV. Open patellar fractures: high energy injuries with a poor outcome? Injury. 2008;39(4):480-84.
Ali M, Kuiper J, John J. Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella. Chin J Traumatol. 2016;19:255-8.