Authors of section


Alan Ruggles

Executive Editor

Jörg Auer

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Implant fixation

1. Surgical technique

Because the requirements for immediate weight bearing and typically high-energy nature of the fracture, successful surgical repair is usually not possible.
If surgical repair is attempted, reestablishing the stay-apparatus using implants applying tension band technique to counteract the distracting forces of the quadriceps muscle and the patellar ligaments is required. A combination of implants including bone screws, wires, Steinmann pins and/or small bone plates may be used.


2. Preparation and approach

This procedure is performed with the patient placed in dorsal recumbency through the skin incision for patellar fractures.

screw plate fixation