Minimal invasive patella fixation

Video Description

Minimally invasive surgery, in recent studies, has demonstrated its utility in the surgical treatment for patella fractures in selected cases; presenting these cases using this technique exposes a feasible surgical resource, by performing fracture reduction supported by X-rays and basic instruments available in any trauma hospital. The viability of closed reduction and internal fixation with dynamic braces is corroborated in selected cases of patella fractures, demonstrating an aesthetic benefit and decreasing patellar deperiostization and therefore risks of infection, wound dehiscence, delayed consolidation, no union, without reducing the quality of the surgical and biomechanical result; considering the international criteria in pain and functional outcome. The success of the surgery depends on the adequate anatomical reduction and the criteria of articular congruence demonstrated in the literature. Arthroscopic support may corroborate articular congruence, although there is little experience, it necessarily offers many benefits. It is important to take into account the stability of the fixation, if we add that by avoiding the affection of the Escapinelli circulation, the consolidation rate should increase, however it is necessary to increase the number of cases and follow-up over a longer period.