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Double-Tension Wire Management of Nonunion Patella with Severe Quadriceps Contracture.

ABSTRACT: Introduction:Nonunion patella with quadriceps contracture is an unusual orthopaedic finding. Very few cases have been recorded in the past with this complication. We present a case of a 40-year-old male with nonunion patella with quadriceps contracture secondary to trauma. Case Report. A 40-year-old male with posttraumatic nonunion patella with quadriceps contracture since 6 months presented with complaints of defect in the left knee with restriction of movements. X-ray of the left knee confirmed our findings. He underwent quadricepsplasty with double-tension band wiring for the patella followed by rigorous physiotherapy to achieve the current level of the knee flexion of 110 degrees. Conclusion:We conclude that quadricepsplasty with tension band wiring and neutralization wire is one of the good modalities of treatment for a nonunion patella associated with quadriceps contracture.

SUBMITTER: Bhimani R 

PROVIDER: S-EPMC6146672 | biostudies-other | 2018

REPOSITORIES: biostudies-other

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Double-Tension Wire Management of Nonunion Patella with Severe Quadriceps Contracture.

Bhimani Rohan R   Singh Preeti P   Bhimani Fardeen F  

Case reports in orthopedics 20180906

<h4>Introduction</h4>Nonunion patella with quadriceps contracture is an unusual orthopaedic finding. Very few cases have been recorded in the past with this complication. We present a case of a 40-year-old male with nonunion patella with quadriceps contracture secondary to trauma<i>. Case Report.</i> A 40-year-old male with posttraumatic nonunion patella with quadriceps contracture since 6 months presented with complaints of defect in the left knee with restriction of movements. X-ray of the lef  ...[more]