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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2022; 63(03): e171-e177
DOI: 10.1055/s-0042-1750695
Artículo Original | Original Article

Use of Mesh Plate for the Treatment of Comminuted Patellar Fractures: Case Report

Article in several languages: español | English
Nicolás Franulic 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
2   Equipo de Rodilla, Hospital Militar de Santiago, Santiago, Chile
,
José Ignacio Laso 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
3   Equipo de Rodilla, Hospital Barros Luco Trudeau, Santiago, Chile
,
Carlos Rojas 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
,
Rodrigo Olivieri 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
,
Nicolás Gaggero 
1   Equipo de Rodilla, Hospital del Trabajador ACHS, Santiago, Chile
4   Equipo de Rodilla, Clínica Las Condes, Santiago, Chile
› Author Affiliations Funding The authors declare that the present study did not receive any type of institutional or private funding.
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Abstract

Objective To describe the surgical technique for the use of a mesh plate in a case of comminuted patellar fracture and the mid-term follow up outcomes.

Materials and Methods We present a case of comminuted patella fracture managed with the use of a mesh plate and an associated cannulated screw, thus avoiding partial patellectomy and its possible complications.

Results Four months postoperatively, the patient presented full knee range of motion and could be discharged to return to work, with no complications or reinterventions.

Discussion The use of mesh plates enables the management of comminuted patellar fractures preserving bone stock and restoring the extensor mechanism with a stable and little prominent osteosynthesis. Cases which previously would only have been treated by partial patellectomy and patellar tendon reinsertion can be treated with these plates.

Conclusion The use of mesh plates for comminuted patellar fractures is an attractive option due to their stability, their ability to preserve bone stock, and the low rates of reintervention.

Level of evidence V.

Keywords

patella - comminuted fracture - mesh plate - difficult patellar fracture


Publication History

Received: 09 August 2021

Accepted: 17 May 2022

Article published online:
28 December 2022

© 2022. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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