Clinical and functional outcome of traumatic osteochondral fracture in adolescent patella

Authors

DOI:

https://doi.org/10.47391/JPMA.9782

Keywords:

Osteochondral Defect, Adolescent Patella

Abstract

The objective of this descriptive cross-sectional study was to assess the functional outcomes of adolescents who had undergone internal fixation for patellar post-traumatic OCD fracture from 2019-2021. The injury mechanism was divided into two categories: a) torsional mechanism and b) direct contact injury. All candidates underwent X-ray and MRI/CT scan prior to the surgery to confirm the diagnosis. Operative treatment was open reduction and internal fixation (ORIF) of osteochondral fragment using headless screws. All patients were assessed pre-operatively with knee-ROM/IKDC (International Knee Documentation committee) score and satisfaction score, and post-operatively at one year follow-up. Fourteen patients were selected, with the mean age of 16.1±3.2 years. On one-year follow-up, no difference was noted in ROM when compared to the unaffected limb. The mean satisfaction score was 86±6.3 %. The mean pre-operative-IKDC score was 47.6±5.8 out of 100, whereas on one-year follow-up it was 88.6±2.2 which was statistically significant (p-value <0.05).

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Author Biographies

Sobia Aziz, Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

resident orthopaedic

department of orthopadic

liaquat national hospital

karachi

Noman Khan, Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

Senior registrar

orthopaedic department

liaquat national hospital

karachi

Muhammad Sufyan, Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

assistant professor

orthopaedic department 

liaquat national hospital

karachi

Muhammad Kazim, Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

associate professor

orthopaedic department

liaquat national hospital

karachi

Arisha Zaheer, Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

intern

orthopaedic department

liaquat national hospital

karachi

Published

2024-07-25

How to Cite

Aziz, S., Khan, N., Dina, T. K., Sufyan, M., Kazim, M., & Zaheer, A. (2024). Clinical and functional outcome of traumatic osteochondral fracture in adolescent patella. Journal of the Pakistan Medical Association, 74(8), 1508–1510. https://doi.org/10.47391/JPMA.9782

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