Bilateral patella fracture with unilateral refracture: a case report

Authors

  • Santosh Reang Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura
  • Pulak Saha Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura
  • Tapan K. Das Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205586

Keywords:

Bilateral patella fracture, Re-fracture

Abstract

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.

Author Biographies

Santosh Reang, Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura

Associate Prof.

Dept. Of Orthopaedics.

Pulak Saha, Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura

Post Graduate Trainee

Department Of Orthopaedics

Tapan K. Das, Department of Orthopaedics, Agartala Government Medical College, Agartala, Tripura

Proffesor

Dept. Of Orthopaedics

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Published

2020-12-23