Mendoza LMA, Villalobos CCA, Flores GJ, Herrera MA

Language: Spanish
References: 14
Page: 227-232
PDF size: 258.40 Kb.

ABSTRACT

Introduction: patellar fracture in pediatric patients is extremely rare, accounting for less than 1% of fractures in children and is related to impaired growth, neurovascular and soft tissue damage. The little information on this pathology makes timely diagnosis and treatment difficult, and if treated early it would lead the patient to a favorable evolution. Objective: to present the case of a patella fracture with a coronal line in a 12-year-old boy, treated by osteosynthesis with the biomechanical principle of radial compression and to assess the resulting function of the knee. Clinical case: fixation was performed in a patellar fracture with a coronal line and lateral displacement, under the biomechanical principle of compression in the radial direction, with 2 continuous thread cancellous screws 4.0 mm. Carrying out functional clinical assessment with the WOMAC scale at 6 and 12 months after surgery. Results: report of a 12-year-old pediatric case with a direct contusion injury mechanism in the left knee, treated surgically with early osteosynthesis on the third day of the accident, which produced excellent pain and functional improvement according to the WOMAC scale, without complications so far. Conclusion: patella fracture in pediatric ages is extremely rare, being less than 1% of all childhood fractures, with a picture of pain, increased volume and limitation in the mobility arches. The early diagnosis and treatment of this type of injury, with continuous thread screws, makes this type of fracture an adequate management with a speedy recovery.

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