Patella Fracture Malpractice

Patella fracture is a fracture of the kneecap (patella). Patella is the largest sesamoid, is also an integral part of the knee. Quadriceps aponeurosis has covered the front to form a patellar tendon under the extension, limited to the tibial tubercle. Patellar aponeurosis adjacent to both sides for the back surface for the articular cartilage, femoral patellar surface with the formation of the patellofemoral joint, patellar ligament and its surrounding, forming the common extensor aponeurosis devices activity in the lower extremities are very important structures. After resection of the patella in the quadriceps extensor activity can reduce the power, therefore, can protect the knee patella, and enhance muscle strength muscle 4, tackle the role of the knee straight. In the treatment should be as far as possible behind the patella articular surface are complete, the inside and outside the lateral femoral condyle with the formation of articular surface of the restoration of the previous formation, to reduce the occurrence of patellofemoral arthritis. Patella Fracture Causes Patella Fracture is caused by direct violence or indirect violence. Direct violence many direct attack by foreign forces on the patella, such as bruises, so many for the comminuted fracture, the pre-patellar and patellar aponeurosis aponeurosis and joint capsule on both sides of many well-maintained, but also cross-sectional fracture. Indirect violence due to many severe contraction of the quadriceps, the formation of stretch injury, such as a sudden slipping, the knee flexion-half, a sudden contraction of the quadriceps, patella lead upward, the lower part of the patella fixed patellar tendon, caused by patellar fracture. Indirect fracture rampant violence, displacement, and the patellofemoral compartment, and on both sides of the expansion of the former Ministry of serious tear. Patella Fracture Symptoms Within the patella, can be seen the fracture line with cross-sectional or star, due to the quadriceps tendon and patellar tendon of the involved, fractures block many more obvious separation, fracture displacement on up above, and no displacement of the lower. Not such as quadriceps tendon rupture, fracture displacement rare. Patella Fracture Symptoms include Substantial intra-articular fracture hemarthrosis, subcutaneous hematoma before patella, swelling, subcutaneous ecchymosis, and knee skin abrasions, serious cases of skin blisters can occur. There is displacement of fractures, fracture lines reach space. Signs of local tenderness, there is separation of fracture displacement, you can touch the subfoveal fracture was stump-shaped groove may have fricative or abnormal bone activity. Patella Fracture Diagnosis The doctor can diagnosis of patellar fracture base on clinical symptoms and X-ray. Clinical highly doubt there is such as patellar fracture, but lateral X-ray films did not show, they can take X-ray film for the patella. After confirm diagnosis of patellar fracture, should determine the extent of extensor retinaculum injury to select treatment. If the fracture displacement of greater than or equal to 5mm, then prompted the majority of extensor retinaculum rupture, such as fracture displacement of less than 5mm, and can take the initiative to fully straighten the knee, the extensor device that is not obvious injury; such as can not completely straighten the tips at the same time there is varying degrees of injury. Puncture to the knee after the injection of local anesthetics blood to help the implementation of the above examinations.

Patella Fracture Treatment

Treatment of patellar fracture, should be to maximize the restoration of the smooth articular surface, to give a more solid fixation and early knee joint activity to prevent the occurrence of traumatic arthritis. 1. Gypsum-based care or possession of a fixed This law applies to a non-displaced patellar fracture, without manual reduction, intra-articular blood out, bandage, care, or with long legs plaster cast limb fixed in extension position 3 ~ 4 weeks. Cast immobilization in the quadriceps contraction during the exercise, remove the plaster after care knee activity practice. 2. Open reduction and fixation Fixation of patella fractures multiple methods can be divided into two categories, one category of fixed-line still needs a certain period of time after the external fixation; the other relatively strong internal fixation without external fixation. 1) Modified tension band wire fixation: Indications: a. run patella fracture; b. Comminuted patella can be reset. Surgical methods: pre-patellar transverse incision line arc, reveal fracture line, since the far end of fractures noodle packs, retrograde and out using two 1.5mm diameter Kirschner wire fixation of the fracture, into the intra-articular hand, touch the patella After the formation of articular surface with a wire around the Kirschner wire fixation. Another way to use the same fixed needle. After treatment: I do not need external fixation, quadriceps contraction after the second day of practice, the majority of fracture patients at two weeks after operation to 90 ° flexion and walking fields. 2)Patella or on the lower pole resection: re-quadriceps tendon surgery: removal of small pieces or crush fractures of the patellar tendon to the patella on paragraph, or in quadriceps patellar fracture. After treatment: dressings with dressings, long legs stretched gypsum-bit fixed three weeks, do not go after the weight-bearing exercises gypsum joint activity. 6 weeks after weight-bearing walking gradually and to strengthen the range of motion and quadriceps exercises. This method may be the role of preservation of the patella, to heal quickly, Unit 4 features to restore, no fracture healing and articular surface is not smooth problem. 3) Patella resection: Reduction should not apply, should not severely comminuted fracture of partial resection. Comminuted fracture block resection should try to protect their quadriceps aponeurosis and periosteum. Suture after excision of the expansion of the Department of tearing and joint capsule to restore to normal tightness. Then, drop the quadriceps tendon and patellar tendon suture. Can not direct suture, and can be reversed quadriceps tendon suture repair. Make up the quadriceps tendon in the "V"-shaped incision, to cut under the flap over the tendon, patellar excision repair of the defect after the new form. Vastus lateralis muscle can also be used and the quadriceps tendon of the lateral tendon flip down flap excision repair defect of the patella Department. After four weeks of fixed plaster care and practice activities flexed knee.

South Carolina Medical Malpractice Lawyer: Patella Fracture

The standard of care is determined by the standard that would be exercised by the reasonably prudent healthcare provider. Such a test (known as the ‘Bolam Test‘) is used to determine whether a doctor is liable for medical malpractice. This would be applied in a potential Patella Fracture lawsuit. The standard of care is there to help the defendant. When it is determined the doctor met the standard of care, it is unlike a medical malpractice lawsuit will be filed. If you feel the treatment of your Patella Fracture was negligent, call 843-700-8070 now for a free consultation.

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