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J Orthop Trauma. 2013 Jul;27(7):e161-5. doi: 10.1097/BOT.0b013e3182673418.

Patella osteotomy: a new approach for complex trauma around the knee.

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1
Department of Orthopedic Surgery, Mona Vale Hospital, Mona Vale, NSW, Australia. dr.simon.donald@gmail.com

Abstract

Complex floating knee injuries, comprising complete articular distal femur and proximal tibia fractures, are a significant challenge in Orthopedic Traumatology. Traditional surgical approaches can result in a limited exposure, compromising osteosynthesis, with an extensive soft tissue dissection predisposing to adhesion of the quadriceps and arthrofibrosis. The Patella Osteotomy technique provides unrivaled visualization of the articular surfaces of the knee, with a limited soft tissue dissection to permit the anatomical reconstruction of the articular injury, while minimizing the risk of postsurgical complications and reducing intraoperative fluoroscopy time.

PMID:
22801384
DOI:
10.1097/BOT.0b013e3182673418
[Indexed for MEDLINE]
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