A new technique for the treatment of comminuted, transverse fractures of the patella
Chiroff, R.T.
Surgery Gynecology and Obstetrics 145(6): 909-912
1977
ISSN/ISBN: 0039-6087 PMID: 929368 Document Number: 112318
In an attempt to re-establish continuity of the quadriceps mechanism following partial patellectomy more securely in patients with comminuted, transverse fractures of the patella, a technique whereby the patellar ligament is inserted into a transverse groove created in the proximal patellar fragment and this anastomosis is then protected by a tension band wiring, is described and depicted. Using this method, it is possible to provide a larger surface area fro more satisfactory tendon to bone healing and to initiate relatively early motion of the knee, without compromising the site of reconstitution of the extensor mechanism.