Knee Fracture is a break in the knee, or kneecap, the small bone that sits at the front of your knee. Because the patella acts as a shield for your knee joint, it is vulnerable to fracture if you fall directly onto your knee or hit it against the dashboard in a vehicle collision. A patellar fracture is a serious injury that can make it difficult or even impossible to straighten your knee or walk.

Some simple Knee Fractures can be treated by wearing a cast or splint until the bone heals. In most patellar fractures, however, the pieces of bone move out of place when the injury occurs. For these more complicated fractures, surgery is needed to restore and stabilize the kneecap and allow for the return of function.

Types of Knee Fractures

In a displaced fracture, the broken ends of the bone are separated and do not line up correctly. The normally smooth joint surface may also be disrupted. This type of fracture often requires knee replacement surgery to put the pieces of bone back together.
In this type of fracture, the bone shatters into three or more pieces. Depending on the specific pattern of the fracture, a comminuted fracture may be either stable or unstable.
In an open fracture, the bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the bone. An open fracture often involves damage to the surrounding soft tissues and may take a longer time to heal. Open fractures are particularly serious because, once the skin is broken, there is a higher risk for infection in both the wound and the bone. Immediate treatment is required to prevent infection.
Knee Fracture
Knee Replacement
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Most Knee Fractures ar crosswise or comminuted, therefore the musculus quadriceps femoris mechanism is discontinuous and that they ar treated by a mix of wires in an exceedingly tension band construct. This unites the broken bones, reconstructing the straightening mechanism of the leg.

If the Knee is broken many places, that’s comminuted, then historically a patellectomy (removal of the full patella) is performed so as to reconstruct the extensor muscle mechanism and forestall the onset of associate degree extension lag at the genu, leading to instability. Some surgeons but would rather elect internal fixation. A partial patellectomy is removal of solely some of the patella, and will be disbursed if a minimum of hr of the patella are often maintained.

Open fractures of the patella need emergency treatment with irrigation, surgical process and fixation.

Complications could embrace injury to the shinbone, femur, or knee ligaments. within the long term, the knee might not regain full movement, pain could persist ANd there’s an enhanced chance of degenerative arthritis of the knee.If there’s AN associated open wound as in AN break, complications conjointly embrace risk of infection, inability of the broken bones to reunite and osteonecrosis.[

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