CASE REPORT: TREATMENT BY SCREW FIXATION OF AN OSTEO-CHNONDRAL FRAGMENT ASSOCIATED WITH A DISLOCATION OF THE PATELLA AND REVIEW OF THE LITERATURE
Karim Chafai El Alaoui*, Amine EL Yazidi, Hatim Abid1, Mohammed EL Idrissi, Abdelhalim El Ibrahimi and Abdelmajid El Mrini
ABSTRACT
Fractures of the patella are serious articular fractures, since they can jeopardize the functional prognosis of the knee. The frequency is 0.5 to 1.7% of all skeletal fractures. Various surgical procedures exist, dominated by the technique of pinning and bracing. A recent numerical study has demonstrated the value of screwing with superficial screw placement, which provides better stability and lower wire loads and bone contact pressure than deep placement, We report on a particular case of a dislocated osteochondral fragment associated with a dislocated patella, following a sports accident. The dual-purpose procedure of reducing the dislocation and synthesizing the osteochondral fragment consisted of a triple screwing procedure without anterior thread with capsulomyoplasty.
[Full Text Article] [Download Certificate]