advocated for partial patellectomy by excision of loose fragments and reattachment of patellar tendon with transosseus sutures in comminuted lower pole fractures.
Veselko and Kastelec in their study found that basket plate fixation gave better outcome compared to partial patellectomy in the management of comminuted inferior pole patella fractures by retaining inferior pole and earlier mobilization.
Partial patellectomy and patellar tendon repair using transosseus sutures is very effective method in the management of comminuted extraarticular inferior pole patella fractures which are not normally amenable to conventional fixation methods.
2003) Healing of bone-tendon junction in a bone trough: a goat partial patellectomy
Although Bostman et al reported better results with TBW compared with three methods of CW, screws fixation and patellectomy
, our results with CW was comparable with TBW.
Historically, prior patellectomy has not been considered a contraindication to total knee arthroplasty although functional outcomes in these patients may vary.
The functional outcomes of total knee arthroplasty in post-patellectomy patients may vary depending upon different factors, including the type of implant used, the preoperative diagnosis, and the time between the patellectomy and arthroplasty.
2006) Low intensity pulsed ultrasound increases the matrix hardness of the healing tissues at bone-tendon insertion-a partial patellectomy
model in rabbits.
Patellar fractures treated by partial patellectomy.
Of these, one patient underwent refixation with good result, one bad to undergo partial patellectomy, regarded as a salvage procedure due to poor functional outcome.
It is unclear which patients should have patellectomy versus patellofemoral arthroplasty, but an important criterion is the maintenance of better strength after patellofemoral replacement.
Sisto and Sarin (38) and Lonner (39) have advocated patellofemoral arthroplasty rather than total knee arthroplasty or patellectomy for patients younger than 55 years with isolated anterior compartment arthrosis.