You are here

Patella Fracture ORIF 27540

Patella Fx

synonyms:Patella Fracture ORIF, patellar fracture ORIF, knee cap ORIF

ORIF Patella CPT

ORIF Patella Indications

  • Displaced transverse patella fracture

ORIF Patella Contraindications

ORIF Patella Alternatives

ORIF Patella Pre-op Planning

ORIF Patella Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • Supine position on radiolucent OR table. All bony prominences well padded.
  • Examination under anesthesia.
  • Well-padded tourniquet high on the thigh.
  • Prep and drape in standard sterile fashion.
  • Vertical midline incision.
  • Expose fracture site, medial and lateral retinaculum.
  • Fracture reduced with reduction forceps. Reduction judged based on palpation of articular surface and c-arm images.
  • Fixation provided with 4.5mm cannulated screws and tension band created with #2 fiberwire suture placed through the cannulated screws.
  • Severely comminuted fractures require cerclage fixation (wire/suture)
  • Free osteochondral fragments require repair or excision.
  • Repair medial and lateral retinaculum.
  • Irrigate.
  • Close in layers.

ORIF Patella Complications

ORIF Patella Follow-up care

  • Post-op: knee brace locked in extention, WBAT in brace
  • 7-10 Days: Wound check, confirm reduction on xray. Consider allowing knee ROM to some degree based on stability of fixation at surgery.
  • 6 Weeks: Evaluate xrays for union. Advance ROM
  • 3 Months: progress with ROM and strengthening
  • 6 Months: review xrays, return to full activity / sport
  • 1Yr: f/u xrays, assess outcome.

ORIF Patella Outcomes

ORIF Patella Review References

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer