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Patella Fracture Surgery

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Evolution of Patella Fracture Surgery

When appropriately indicated patella fracture repair, known as open reduction internal fixation (ORIF), can be performed in a myriad of ways. Different types of fracture patterns lend themselves to different ways to fix the patella, with the overarching goal of restoring the patella’s native anatomy and function. One of the classically used methods involves drilling bone tunnels through the patella and weaving a thin metal wire through the fracture site to hold the bones together. Although commonly used, this technique is associated with the possibility of painful hardware and potential need for another surgery to remove the wire. Novel techniques include screw fixation with and without wires and even newer thin metal plate fixation.

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