Patella fractures (surgical treatment) retrospective, epidemiological, clinical and therapeutic studies

Mohammed Elhasany *, Mohamed Nassiri, Mohamed Madhar, Rachid Chafik and Hanane Elhaoury

Department of orthopedie traumatology, Ibn Tofail hospital, Mohammed VI university hospital center, FMPM, Cadi Ayyad University, Marrakech, Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(03), 1048–1053
Article DOI: 10.30574/wjarr.2024.22.3.1839
Publication history: 
Received on 07 May 2024; revised on 16 June 2024; accepted on 18 June 2024
Fractures of the patella are functionally serious and relatively frequent, representing 1% of all skeletal fractures. They compromise the functional prognosis of the knee and consequently the socio-professional future of the patient.
The purpose of our study was to evaluate the epidemiological, clinical and therapeutic results as well as the evolution of 90 cases of patella fractures treated in the orthopedic trauma service at IbnoTofail Hospital in Marrakech over a period of 5 years from January 2016 to December 2020.
The average age was 40 years with a male predominance (85.55%). Public road accidents were the most common etiology (60%). For the anatomopathological study we adopted the SOFCOT classification. We found 47.78% of type II fractures, 30% of type III fractures, 8.89% of type IV fractures, and 13.33% of type VI fractures, while no case of type I and V fractures. The skin opening was found in 34 patients (37.78%). The most commonly used osteosynthesis technique in our series was splinting strapping, performed in 51 patients (56.67%), followed by cerclage, which was indicated in 20 patients (22.22%). The analysis of the functional results was based on the BOSMAN grading scale, with excellent results in 46.67%, good results in 44.45% and poor results in 8.89%. The complications found in our series were infection in 10 cases, 1 case of dislocation of the material, 1 case of vascular damage, 7 cases of malunion, 5 cases of pseudoarthrosis, 6 cases of knee stiffness and 5 cases of arthrosis.
Patella; Fractures; SOFCOT Classification Surgery; Complications
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