Resultados a largo plazo del tratamiento de las fracturas de rótula mediante hemipatelectomia

  1. Ramos Galea, Rafael
  2. Blanco Blanco, Juan F.
  3. Hernández Martín, P.
  4. León Vázquez, Fernando
  5. García Alonso, Manuel Francisco
Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 2000

Volume: 35

Issue: 204

Pages: 439-443

Type: Article

More publications in: Revista española de cirugía osteoarticular

Abstract

A retrospective stydy was made of 48 patellar fractures who were threated with a hemipatellectomy. The mean time of follow-up was 14,6 years. The results were assessed with use of clinical, radiological, subjective and isokinetic quadriceps strength-testing criteria. The mean active range of motion was 89%, the strength of quadriceps was 83% and the circumference of the thigh was 97% of these measurements in the contralateral extremity. The over-all results was rated as excellent in 45,83%, dood in 39,58%, fair in 10,41% and poor in 4,16%. There was a significant statistical correlation between the type of fracture, the previous patology in the knee, the associated lesions caused by trauma and the outcome. The results of this study indicate that hemipatellectomy can be an effective and secure treatment for selected patellar fractures.