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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2026, Number 1

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Acta Ortop Mex 2026; 40 (1)

Minimally Invasive Surgery (MIS) for fixation of transverse patella fractures: case series and literature review

Buendía-Saavedra L, Matus-Jiménez J, Ray-Durán J
Full text How to cite this article 10.35366/122376

DOI

DOI: 10.35366/122376
URL: https://dx.doi.org/10.35366/122376

Language: Spanish
References: 8
Page: 61-66
PDF size: 2005.42 Kb.


Key words:

fracture, patella, minimally invasive fixation, recovery, rehabilitation.

ABSTRACT

Introduction: patellar fractures represent a clinical challenge due to the need to restore knee function by minimizing surgical trauma through the minimally invasive fixation technique (MIS) being an alternative seeking to improve clinical and functional results without so much aggression to the tissues. Material and methods: a retrospective study was conducted of patients with displaced patella fractures treated with the MIS technique between January 2015 and December 2020, evaluated over a five-year period using scales of pain, range of motion and functionality. Results: the patients analyzed were 20 who showed a rapid and sustained recovery, with mean EVA scores of 0.2 and IKS of 95 (average) at the end of the follow-up. No complications such as infections or failure of the fixing material were reported. Conclusions: the MIS technique for patella fractures offers numerous benefits, including less trauma to tissues and rapid functional recovery. This study demonstrates a superior alternative to traditional methods of open fixation.


REFERENCES

  1. Weber MJ, Janecki CJ, McLeod P, Nelson CL. Efficacy of various forms of fixation of transverse fractures of the patella. J Bone Joint Surg Am. 1980; 62(2): 215-20.

  2. Hung LK, Chan KM, Chow YN, Leung PC. Fractured patella: Operative treatment using the tension band principle. Injury. 1983; 16(5): 343-7.

  3. Luna-Pizarro D, Amato D, Arellano F, Hernández A, López-Rojas P. Comparison of a technique using a new percutaneous osteosynthesis device with conventional open surgery for displaced patella fractures in a randomized controlled trial. J Orthop Trauma. 2006; 20(8): 590.

  4. Tandogan RN, Demirors H, Tuncay CI, Cesur N, Hersekli M. Arthroscopic-assisted percutaneous screw fixation of select patellar fractures. Arthroscopy. 2002; 18(2): 156-62.

  5. Carpenter JE, Kasman RA, Patel N, et al. Biomechanical evaluation of current patella fracture fixation techniques. J Orthop Trauma. 1997; 11(5): 351-6.

  6. Baran O, Manisali M, Cecen B. Anatomical and biomechanical evaluation of the tension band technique in patellar fractures. Int Orthop. 2009; 33(4): 1113-7.

  7. Quan Yi L, Jia Wen W. Fracture of the patella treated by open reduction and external compressive skeletal fixation. J Bone Joint Surg Am. 1987; 69(1): 83-9.

  8. Curtis MJ. Internal fixation for fractures of the patella. A comparison of two methods. J Bone Joint Surg Br. 1990; 72(2): 280-2.



EVIDENCE LEVEL

IV




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Acta Ortop Mex. 2026 Ene-Feb;40