A Novel Surgical Technique for Patellar Fracture: Application of Extra-articular Arthroscopy With Hanger-Lifting Procedure

Shinichi Maeno, Daijo Hashimoto, Toshiro Otani, Ko Masumoto, Nobuyuki Fujita, Seiji Saito

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We describe a novel operative technique for patellar fracture. The patient is placed in the supine position for setup of both an image intensifier and arthroscopy. After routine intra-articular inspection with an arthroscope, an extra-articular space including the prepatellar bursa is developed. The space is created with a lifting hanger applied from a portal wherein an arthroscope can then afford both intra- and extra-articular observation of the articular and bony surface of the patella. By use of an image intensifier, the fracture can be treated and fixed in percutaneous fashion with the aid of an arthroscope. This new technique offers surgeons a magnified view of the patella, both intra- and extra-articularly, through a minimally invasive procedure. Although it includes inherent risks and limitations, this new application of arthroscopy would certainly help surgeons to treat patellar fracture.

Original languageEnglish
Pages (from-to)e275-e279
JournalArthroscopy Techniques
Volume2
Issue number3
DOIs
Publication statusPublished - 2013 Aug 1

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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