Reconstruction of Quadriceps Extensor Mechanism at Child, Three Months after “Sleeve Fracture of Patella”

Abstract

Fractures of distal pole of patella are usually inadequate cured and most often unrecognised. Children between the third and sixth year have often been affected by this kind of fracture. This is one of the most frequent types of patella fracture that is found at skeletal immature persons. Injuries are often overlooked on the first medical examination and x-ray scanning is not properly read because relatively small part of bone can be seen while the greater part of patella is cartilaginous. It is necessary, in this case, to do detailed clinical examination. The case of unsuccessful conservatively cured fracture of distal patella pole, at ten years old boy, is shown here. This case lead to appearance of re fracture that happened during running after which the boy hasn’t seen orthopaedist for three months. Patella atlas and repressed distal fragment with ligament of patella have been appointed. Reconstructive surgery had been done and has been followed by intensive physical therapy in a period of three months. After treatment period results were; active and passive knee mobility, painless movement as well as returning back to sport activities. Even three months after injury it is possible to have successful reconstruction of re-fracture of distal patella pole at children’s age of ten.