Treatment of Comminuted Fracture of Inferior Pole of Patella Using Partial Patellectomy And Patellar Tendon Repair Using Transosseous Sutures

Background: The incidence of inferior pole fractures of patella is around 5% and the various treatment options include tension band wiring, circumferential wiring, or use of screw 1 . The traditional recommendation for severly comminuted inferior pole fractures is excision of the comminuted pole followed by reattachment of the patellar tendon with transosseous suture to the superior fragment 2 . Materials and methods :This prospective study involves 10 patients with comminuted inferior pole of patella fracture operated between may 2015 to may 2017.there were nine male patients and one female patient. Result: The outcome of the procedure was assessed with use of the Saltzman patellofemoral scoring system 5 . The final patellofemoral score (maximum 100 points) 93 (range 91-95). Conclusion: We conclude that treatment of comminuted inferior pole patella fracture using partial patellectomy and patellar tendon repair using transosseous stutures is a very effective method of treating comminuted fractures inferior pole of patella.