A "blocking" loop in the surgical treatment of avulsive fractures of the patella and damage to its ligament

In the article is presented the improved method of knee joint extension system restoration by means of blocking wire loop, passed through the formed canals: in tibia--one cross canal and in patella--two longitudinal canals. This method has been applied in 6 patients with injuries of proper ligament of patella and in 18--with patella avulsive fractures. Long-term results have been followed with 12 patients. 11 of them achieved complete restoration of knee joint mobility irrespective of the injury nature.     

Injuries of the extension apparatus of the knee joint

The article analyses problems of the diagnosis, the choice of the therapeutic tactics, and the results of operative treatment in 478 patients. Operation undertaken as early as possible after the injury is indicated in fresh fractures of the patella with displacement of the fragments, ruptures of the tendon of the quadriceps femoris muscle and the patellar ligament. The authors prefer stable fixation of patellar fractures by means of a "tightening" wire loop and a "blocking" wire loop in injuries of the patellar ligament. Additional external immobilization is not employed. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into traumatological practice.     

Surgical tactics and the results of the treatment in patellar fractures]

The work analyses problems of the diagnosis, choice of therapeutic tactics, and the results of operative treatment in 119 patients with various fractures of the patella. Emergency operative treatment is recommended in patellar fractures with damage to the extension apparatus of the knee. The authors believe osteosynthesis with application of a "tightening" wire loop after Weber to be the method of choice in transverse and macrofragmental fractures of the patella (92 cases). Avulsion fractures of the lower patellar pole are an indication for removal of the freely lying bone fragments and subsequent application of a "blocking" wire loop. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into traumatological practice.     

Virtual Experimental Validation of Dynamic Osteosynthesis in the Treatment of Fractures of the Proximal Femur

Bulletin of Experimental Biology and Medicine - Volume model of transtrochanteric fracture of the femoral bone fixed by Targon PF dynamic fixator was studied by the finite element analysis. The...