A broken kneecap (patella fracture) is typically repaired through surgical or non-surgical methods, depending on the severity of the fracture. Surgical treatment is often recommended for more severe cases.
Surgical Repair of a Broken Kneecap
When a kneecap fracture is severe, surgery is usually required to realign and stabilize the bone. Here's a breakdown of common surgical techniques:
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Open Reduction and Internal Fixation (ORIF): This involves making an incision to expose the fractured patella. The bone fragments are then repositioned (reduced) into their normal alignment.
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Fixation Methods: To hold the fragments together while they heal, surgeons may use:
- Screws
- Pins
- Wires
These hardware components provide stability and compression to promote proper bone healing.
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Partial or Total Patellectomy: In situations where the patella is severely shattered, or the fragments are too small to be effectively reattached, a surgeon may remove part or all of the patella (patellectomy). This procedure is less common but may be necessary in certain complex fractures. According to the reference material, surgeons may "Remove fragments of bone that are too small to reattach."
Post-Operative Care
After surgery, the knee is usually immobilized in a cast or brace to protect the repaired patella during the healing process. Physical therapy is a crucial component of recovery, helping to restore range of motion, strength, and stability to the knee joint. The duration of recovery varies depending on the severity of the fracture and the individual's overall health.
