The management of multi-fragmentary patella fractures with extensor mechanism compromise represents a significant technical challenge in orthopedics. This training offers a practical immersion in osteosynthesis that restores articular congruence and extensor function, minimizing implant prominence.

Training Focus:

• Surgical treatment of multi-fragmentary patella fractures with extensor mechanism compromise.
• Anatomical reduction and stable fixation.
• Use of cannulated screws and cerclage.
• Management of secondary fragments in the lateral retinaculum.

Detailed Content:

• Optimized Surgical Approach: Precise demarcation and a single incision to intraoperatively manipulate fragments and identify fracture "teeth," facilitating reduction.
• Precise Reduction Technique: Methodology for using reduction forceps and the hand as a mold, adjusting the anchor for primary stability without translation.
• Effective Cerclage Application: Creation of longitudinal incisions in the quadriceps tendon for precise wire positioning close to the bone, with a traction technique and burying of the ends within the muscle mass to prevent complications.
• Fixation of Lateral Fragments: Use of double compression screws for fixation of fragments in the lateral retinaculum, with complete burying of the head to prevent implant prominence.
• Identification of the Key Fragment: Focus on the importance of the inferior pole inserted into the patellar tendon as a crucial point for reduction and concentration of screws with a washer for stabilization.
• Prevention of Complicaions: Strategies to avoid post-fixation instability and considerations regarding implant prominence, especially plates in the patella, which frequently require removal.

Included Material:

• Detailed PDF: Technical document summarizing the surgical treatment of multi-fragmentary patella fractures, addressing: demarcation and surgical approach; reduction and stabilization techniques; preparation and fixation with cannulated screws and cerclage; fixation of lateral fragments; and final considerations, including the management of the key fragment in the inferior pole.

Enhance your skills in the treatment of complex patella fractures. Enroll and master osteosynthesis techniques that ensure superior functional restoration.