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Orthopaedics
Patella Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
2 sections · 98 slides
Overview
- Introduction
- Why patellar fractures matter
- Why patellar fractures matter
- Anatomy and biomechanics
- Surgical anatomy of the patella
- Surgical anatomy of the patella
- Cartilage, blood supply and nerves
- Cartilage, blood supply and nerves
- Forces acting on the fractured patella
- Forces acting on the fractured patella
- Clinical and radiographic assessment
- Clinical examination
- Pitfalls in examination
- Pitfalls in examination
- Standard radiographs of the patella
- Standard radiographs of the patella
- Insall-Salvati ratio
- Additional imaging
- Bipartite patella versus acute fracture
- Bipartite patella versus acute fracture
- Associated injuries to look for
- Associated injuries to look for
- AO/OTA classification
- AO/OTA classification: types A and B
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- AO/OTA classification: type C
- AO/OTA classification: type C
- AO/OTA type tree for the patella
- Extraarticular avulsion fracture (34A1)
- Avulsion and sleeve fractures
- Avulsion and sleeve fractures
- Treatment options: avulsion fractures
- Treatment options: avulsion fractures (cont.)
- Decision logic: avulsion fractures
- Decision logic: avulsion fractures
- Partial articular sagittal fractures (34B)
- Sagittal fractures: treatment principles
- Treatment options: sagittal fractures
- Treatment options: sagittal fractures (cont.)
- Decision logic: sagittal fractures
- Decision logic: sagittal fractures
- Transverse fractures (34C1)
- Transverse fractures: definition
- Transverse fractures: definition
- Treatment options: transverse fractures
- Treatment options: transverse fractures (cont.)
- Decision logic: transverse fractures
- Decision logic: transverse fractures
- Wedge and multifragmentary (34C2, 34C3)
- 34C2 and 34C3: definition and aims
- 34C2 and 34C3: definition and aims
- Treatment options: 34C2 and 34C3
- Treatment options: 34C2 and 34C3 (cont.)
- Decision logic: multifragmentary fractures
- Decision logic: multifragmentary fractures
- Operative technique
- Preparation and positioning
- Mid-axial longitudinal approach
- Mid-axial longitudinal approach
- Outside-in versus inside-out K-wires
- Outside-in versus inside-out K-wires
- Cerclage compression wiring: steps
- Cerclage compression wiring: steps
- Checking the reduction
- Checking the reduction
- Intraoperative imaging views
- Intraoperative imaging views
- Cerclage compression suture
- Cerclage compression suture
- Krackow suture repair of the distal pole
- Krackow suture repair of the distal pole
- Patellotibial cerclage augmentation
- Patellotibial cerclage augmentation
- Sleeve fracture fixation: steps
- Sleeve fracture fixation: steps
- Lag screws for sagittal fractures
- Lag screws for sagittal fractures
- Patellar plating
- Patellar plating
- Cerclage wiring of comminuted fractures
- Cerclage wiring of comminuted fractures
- Salvage techniques
- Salvage techniques
Aftercare and complications
- Aftercare by fixation method
- Aftercare by fixation method (cont.)
- Aftercare by fixation method (continued)
- Follow-up and implant removal
- Complications
- Complications
- Take-home messages
- References (1 of 5)
- References (2 of 5)
- References (3 of 5)
- References (4 of 5)
- References (5 of 5)
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