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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 3

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Ortho-tips 2023; 19 (3)

Chondral injuries in patients with patella fracture managed with osteosynthesis and subsequent removal of material and knee arthroscopy

Castillo LJE, Espinosa LRF, King MAC

Language: Spanish
References: 15
Page: 147-151
PDF size: 172.92 Kb.


ABSTRACT

Introduction: patella fractures represent a medical condition in the orthopedic emergency room, the main objective of treatment is the recovery and conservation of the articular surface that guarantees adequate functionality in the long term and avoids complications such as early osteoarthritis. Objective: a descriptive study was carried out through a series of cases with the intention of determining the frequency and characteristics of chondral injuries using information from the clinical records of patients undergoing knee arthroscopy and removal of patella osteosynthesis material. Material and methods: information was obtained from the records of male and female patients over 18 years of age from the outpatient clinic of Hospital General "Dr. Manuel Gea González" with patella fracture managed with a tension band and subsequent knee arthroscopy and removal of osteosynthesis material. Results: information was obtained from 10 clinical records. The mean age of the patients was 45 years with a total of seven records male and three female. During the surgical intervention to remove the osteosynthesis material, chondral injuries were found in 10 of 10 procedures, with grade III chondral lesions being more frequent and in the medial proximal articular surface of the patella. Conclusions: chondral injuries were found in all the interventions performed and recorded in the clinical records of patients who underwent knee arthroscopy and removal of osteosynthesis material. This may indicate that, despite proper management, there may be injuries to the articular cartilage.


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EVIDENCE LEVEL

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