Evaluation of Results of Separate Vertical Wirings for the Treatment of Extra-articular Fractures of the Distal Pole of the Patella

Abstract

Background: Patella connects quadriceps ligament and tendon. Base peak. proximal non-articular distal patella. Common subcutaneous patella injurie. Patella focuses Quadriceps forces and facilitates arm extension. It rotates the knee extensor. At maximum extension, the patella raises the quadriceps moment arm by 30%. Patellar avulsion fractures are classified independently. 9.3% to 22.4% of patellar fractures are thus. AO 34-A1 extra-articular lower pole fractures. Rapid flexion against quadriceps contraction causes this fracture. After bone removal, the patellar tendon is frequently sutured transosseously. Long fixation and sluggish recovery cause quadriceps weakness. Two of 25 patients had problems with poor vertical wirings. We examined 2 vertical wiring procedures for extra-articular distal patella fractures.
 Objective: To look at how well separate vertical wirings work for treating fractures outside of the joint at the end of the patella.
 Methods: Prospective, observational study. The study was done from July 2015 to June 2017 at NITOR's Department of Orthopedics. Patients with post-traumatic distal patella extra-articular fractures admitted to NITOR comprised the study population. From July 2015 to June 2017, total 52 patients had patellar fractures. At NITOR, 46 people with lower pole patella fractures were wired vertically with surgery. NITOR checked up on 40 people. After 18 weeks, the final functional result was looked at. Bostman knee score measured how the knee worked.
 Results: 40 patients with extra-articular distal patella fractures were studied to determine the effectiveness of 2 vertical wirings. 9 (22.5%) of 40 patients were 30 or younger, 10 (25%) were 31-40, and 8 (20%) were 41-50. 7% and 6% of patients were in their 5th and 6th decades. The youngest patient was 18 and the oldest was 70. Out of 40 cases, 31 (or 77.5%) were men and 9 (or 22.5%) were women. The number of men to women is 3.5:1. Most of the 30 broken bones (75%) healed between 6 and 10 weeks. The average time for a radiological union to happen was 82.4 weeks.
 Conclusion: According to the study's findings, extra-articular fractures of the distal pole of the patella commonly affect men in early middle age and farmers. Separate vertical wirings cure outside-the-joint distal patella fractures. Most patients can return to their pre-injury activities, but their knees are weaker.