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The Journal of Bone and Joint Surgery, Vol 69, Issue 1 83-89, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Fracture of the patella treated by open reduction and external compressive skeletal fixation

QY Liang and JW Wu

Open reduction combined with external compressive skeletal fixation was used to treat twenty-seven patients who had a separated fracture of the patella. Fixation was obtained by the use of two compressive clamps applied to stainless-steel pins that were inserted just proximal and distal to the proximal and distal poles of the patella. Range-of-motion exercises for the knee were begun at two weeks and the pins were removed at three to four weeks. All of the fractures healed. Twenty-four patients regained a range of motion that was equal to that of the opposite knee. There was no evidence of chronic osteomyelitis. Osteoarthritis was noted in one patient who refused excision of a portion of the patella.
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