Case report for neglected patella fracture after simple tension band wiring (TBW), qudricepsplasty, and POP splitting in resource-limited setup: A case report

Abstract

Background: Patella fractures are common, and they account for about 1% of skeletal injuries. Open reduction and internal fixation is the  standard of care to restore quadriceps function and prevent knee stiffness as well as osteoarthritis. Patella fractures rarely progress  into nonunion with an incidence of 2.4 to 12.5.
Presentation of case: We present a case of 30 years 30-year-old male patient who presented with a left neglected patella fracture  following a fall-down accident 1 and a half years. At presentation, he had left knee pain, and swelling and was unable to flex his knee.  Radiographic examination showed displaced, sclerotic patella fracture nonunion.
Conclusion: Preoperative isometric quadriceps exercises, tension band wire with V-Y advancement, short-term splitting with plaster of  Paris for soft tissue rest, and early post-op rehabilitation is a good treatment option for neglected patella fracture in a resource-limited  setup with less complication.