Non-Union Multifragmentary Patellar Fracture In A Young Patient Post Failed Fixation – A Case Report

Volume 16 | Issue 2 | April-June 2021 | Page 22-25 | Eknath Pawar, Habung Chobing, Kishore Bapuji Jadhav, Akhil k Gop, Devanshu Gupta


Authers: Eknath Pawar [1], Habung Chobing [1], Kishore Bapuji Jadhav [1], Akhil k Gop [1], Devanshu Gupta [1]

[1] Department of Orthopaedics, Grant Medical College and Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Habung Chobing,
Department of Orthopaedics, Grant Medical College and Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.
E-mail: hchobing@gmail.com


Abstract

Introduction: Multi-fragmentary patellar non-union is rare and it causes functional disability in patients. The purpose of studying this case is to present an unusual patella multi-fragmentary non-union and discuss its management.
Case presentation: We present a case of a 25-year-old male patient presented with pain and instability and decreased movements of the right knee since last 1 year. The patient had a history of trauma for which he was operated at the local hospital. X-ray and CT scan of the right knee was suggestive of the non-union of the right patella with three main fragments. We managed with open reduction and internal fixation using CC screw, cerclage and tension band wiring. At one-year follow up, the patient is having a clinical and radiological union of non-union with good functional outcome.
Conclusion: Combination of cannulated cancellous screw, cerclage and tension band wiring provides stable fixation in the multi-fragmentary patellar non-union, helps in early mobilisation which in turn helps in getting good functional outcome and prevents implant-related complications.
Keywords: Non-union; Multi-fragmentary patella; Internal fixation; Fixation failure.


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How to Cite this article: Pawar E, Chobing H, Jadhav KB, Gop AK, Gupta D. Non-Union Multifragmentary Patellar Fracture In A Young Patient Post Failed Fixation – A Case Report. Journal of Trauma and Orthopaedic Surgery April-June 2021;16(2): 22-25 .

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