Saudi Journal of Biomedical Research (SJBR)
Volume-6 | Issue-06 | 174-180
Original Research Article
Outcomes and Evaluation of Patelloplasty using Delayed Absorbable Suture Materials of Displaced Patella Fracture
Dr. Ataul Haque, Dr. Md. Munzur Rahman, Dr. Mohammad Rajib Mahmud, Dr. Md. Zafar Imam
Published : June 22, 2021
Abstract
Introduction: Surgical attachment of displaced patella fractures is now the international standard treatment. The non-absorbed braided suture fixation group's study goal is to measure clinical, radiological, and functional findings as well as to detect complications of patellar fractures. As a control group, these patients were compared to those who had mid-substance fractures and were treated with K-wire or canceled tension strip wiring. Methods: From January 2018 to December 2020, a multicenter nonrandomized quasi-experimental prospective study was conducted in Rajshahi Medical College Hospital and Sador Hospitals in Rajshahi Division (Joypurhat & Sirajganj) Bangladesh. The total number of patients was n=108 The mean age was 36.28 years ranging from 20 to 60 years. All patients are treated with delayed absorbable suture wiring without using hardwiring of the fractured patella. The outcome was assessed by the Böstman scoring system. All demographic data including injury and surgical data were also documented. In all of the patients, non-absorbable sutures were twisted through the patellar tender and drilled to decrease and fracture the patella. Results: A total of 108 individual patients with patella fracture were treated prospectively over 2 years. 78 patients were male. The male-female ratio was 2.6: 1. Their mean age was 36.28 years ranging from 20 to 60 years. 57 (52.78%) patients were injured at right and 51 (47.22%) affected on the left side. The mean injury surgery interval was 2.0 days ranging from 2-8 days and their mean hospital stay was 4 days. We have found all patients in our schedule follow-up system and most of the patient's 103 (96.14%) knee ROM were 120 degree. Only 5 (3.86%) patients' Knee ROM found 90-120 degree. Most of the Patient 103 (96.14%) had come back to their daily works. Our assessment was done with the Böstman scoring system and we have found satisfactory results (Excellent and good) 103 (96.14%) patients and unsatisfactory (fair and poor) results 5 (3.86%). Only 2 (1.85%) patients had SSI out of them one patient was needed revision surgery and their result was unsatisfactory. Conclusions: In individuals who sustain lower polar patella fractures, fraction fixation options are limited. Suture repair that is clinically acceptable and produces results that are comparable to metal implant patella fractures. Suture repair patients appear to have fewer postoperative hardware-related problems than those who have midsole fracture wire fixation.