• Title/Summary/Keyword: Patella Surgery

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Traumatic Separation of Bipartite Patella Underlying Gout

  • Choi, Eun Seok;Sim, Jae Ang;Go, Jae Yun;Na, Young Gon
    • Journal of Trauma and Injury
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    • v.31 no.3
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    • pp.189-193
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    • 2018
  • Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella is a rare condition. This report presented a traumatic separation of bipartite patellar fragment caused by mild trauma in a patient with comorbid gout. When a patient with bipartite patella and underlying gouty arthritis complains of pain after trauma, clinical suspicion is needed about fragment separation of the bipartite patella.

A Patellar Surgery Haptic Simulator for Veterinary Training (수의학 훈련을 위한 슬개골 수술 햅틱 시뮬레이터)

  • Lee, Jun;Eom, KiDong;Seo, Anna
    • Journal of the Korea Computer Graphics Society
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    • v.26 no.1
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    • pp.1-6
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    • 2020
  • Patella surgery of small animal is an important veterinary surgery that the veterinarian should saw and drill the dislocated patella in order to fix the corrected position. However, the animal protection laws restrict the veterinarian students' chances for the practice and training of the patella surgery. This paper proposed a haptic based patella surgery simulator for veterinarian students. We modelled force feedback methods in order to provide best similar haptic feedbacks to the real drilling feedbacks in the patella surgery. The proposed patella drilling simulator provides haptic interface as a drill and a workbench in order to provide best surgery experiences. We conducted the performance evaluations in order to prove usability of the proposed patella surgery interface.

Sleeve Fracture of the Superior Pole of Patella in an Adolescent (청소년기에서 발생한 슬개골 상단부 소매형 골절)

  • Yoo, Moon-Jib;Yoo, Jae-Sung;Ryu, Jee-Won
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.218-221
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    • 2013
  • A patella sleeve fracture is a type of avulsion fracture in which a small osseous fragment gets, along with a sleeve of periosteum and cartilage, is pulled off from the patella. The avulsed sleeve of cartilage and periosteum is not apparent on plain radiographs, which can result in a missed diagnosis or an underestimate of the extent of injury. An avulsion or sleeve fracture of the patella in a child can occur at the superior or the inferior pole of the patella. However, most reported cases of sleeve fractures involve the inferior patellar pole, with fractures involving the superior patellar pole being very rare. The authors report a case of a sleeve fracture of the superior pole of the patella in an adolescent; the fracture was diagnosed with magnetic resonance imaging (MRI) and was treated with surgery after early diagnosis. The course was uneventful, and the outcome was excellent.

Irreducible Acute Patellar Dislocation with Anatomical Variant: Notched Patella (해부학적 변이에 의한 정복 되지 않는 급성 슬개골 탈구: 슬개골의 내측 절흔)

  • Na, Hwa-Yeup;Song, Woo-Suk;Lee, Joo-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.272-276
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    • 2021
  • Most acute patella dislocations can be reduced closely using a spontaneous or simple maneuver, but it may not be possible if accompanied the by anomalies, such as rotation of the patella, osteophyte ridge protruding from the femur, or anatomical variations. This case report outlines irreducible acute patella dislocation with anatomical variations, a notched patella. If the reduction of an acute patella dislocation fails, an additional radiological examination and reduction under general anesthesia may be necessary with the possibility of an anatomical variant in mind.

Superior Pole Sleeve Fracture of the Patella in Children - A Case Report - (소아에서 발생한 슬개골 상단부 소매형 골절 - 증례 보고 -)

  • Kim, Ki-Choul;Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Hyuk;Lee, Yeong-Hyun;Lee, Jae-Hoon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.2
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    • pp.121-124
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    • 2009
  • Patellar fractures in children represent less than 2% of all patellar fractures including adults, and occur about 1% of all pediatric fractures. Because of property of the growing patella, osteochondral or avulsion fractures are more common in children and the most common type of patella fracture in children is sleeve fracture. Avulsion or sleeve fractures of the patella in children can occur at the superior or inferior pole of the patella. Most reported cases of sleeve fracture are involving the inferior patellar pole, but involving the superior patellar pole is very rare. We experienced a case of sleeve fracture occurred at the superior pole of the patella in a sixteen-year-old boy and report this case with literature review.

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Treatment of Transverse Patella Fracture with Minimally Invasive Load-Sharing Patellar Tendon Suture and Cannulated Screws (최소 침습 기법 슬개건 부하 분산 봉합술과 유관 나사못을 이용한 슬개골 횡골절의 치료)

  • Lee, Beom-Seok;Park, Byeong-Mun;Yang, Bong-Seok;Kim, Kyu-Wan
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.6
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    • pp.540-545
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    • 2021
  • A transverse fracture is the most common type of displaced patella fracture requiring surgery. These fractures are commonly fixed with parallel Kirschner wires or screws that cross the fracture line, often with an additional tension band. Nevertheless, conventional fixation methods of patella fractures have prevalent complications caused by the protrusion of wires or pins. These complications necessitate additional surgery for hardware removal, increase medical cost, and can limit the function of the knee joint. This paper reports cases treated with a minimally invasive load-sharing percutaneous suture of the patella tendon. The procedure provides reliable fixation for transverse patella fractures, minimizes soft tissue injuries, preserves blood flow, and reduces postoperative pain. In addition, the procedure also reduces the irritation and pain caused by the internal fixture, thereby reducing the risk of restricted knee joint movement.

Patellar fracture after transverse screw fixation in sports athletes - A case report - (운동선수에서 횡방향 나사 고정 후 발생한 슬개골의 골절 - 증례 보고 -)

  • Ra, Ho Jong;Kim, Sung Tae;Ha, Jeong Ku;Kim, Jin Goo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.109-112
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    • 2011
  • Anatomical reduction and strong fixation in displaced patella fracture are needed for restoration of knee function and strength and early range of motion exercise. According to the type of fracture and various operational methods, their many complications have been reported. We report 2 cases of transverse patella fracture which were caused by transverse screw fixation in longitudinal patella fracture and fracture of bipartite patella in athletes.

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Usefulness of Ultrasound in Treatment of Patella Fracture (슬개골 골절 치료에서 초음파의 유용성)

  • Kim, Jung-Man;Nam, Ho-Jin;Ra, Ki-Hang;Park, Se-Wook
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.1
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    • pp.26-31
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    • 2010
  • Purpose: The purpose of this study is to evaluate the clinical usefulness of ultrasound in treatment of patella fracture. Material and Methods: Twenty cases of twenty patients with patella fracture radiographically from March, 2006 to September, 2009 were involved in this study, there were 8 males and 12 females, there were 13 right knees, 7 left knees, the average age was 43 years (range, 14~72 years). We decided the methods of treatment by using the ultrasound in conjunction with Drayer's test that examining the intactness of patella retinaculum. There were 10 transverse, 8 vertical and 2 comminuted fractures, we examined the patella retinaculum by using the ultrasound and performed Drayer's test. Results: In 12 cases of intact retinaculum, Drayer's test was negative and we allowed patients ambulation without surgical fixation especially. In 4 cases of completely ruptured retinaculum, Drayer's test was positive and we treated the patella fractures by the use of ORIF (open reduction and internal fixation) method, in 2 cases of partially ruptured retinaculum, Drayer's test was negative but displacement of fractures were more than 2 mm, we treated the patella fractures by the use of CRIF (closed reduction and internal fixation) method and obtained clinically satisfactory results. Conclusion: In conjunction with radiographs and Drayer's test, an ultrasound would be one of the useful diagnostic modality for determining treatment method of the patella fracture.

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Giant Cell Tumor of the Patella (슬개골에 발생한 거대세포종 - 증례보고 -)

  • Hahn, Soo-Bong;Kim, Ju-Young;Shin, Kyu-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.217-222
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    • 2003
  • The giant cell tumor comprises approximately 5% of all bone tumors especially in the long tubular bones, particularly in proximity to the epiphysis. A rare case of giant cell tumor involving the patella was recently experienced by authors. Case summary with brief review of reference is presented.

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