A Case of Delayed Recurrent Hemarthrosis after Percutaneous Pin Fixation of the Patellar Fracture
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A 24-year-old man underwent percutaneous fixation with pins for an undisplaced patellar fracture. At 7 months follow-up postoperatively, he presented with recurrent, painful swelling of the operated knee following trivial activities of daily life. Aspiration had been performed two times before he presented to us with symptoms. An x-ray showed that one of the pins was suspected to be protruding at the inferior pole of the patella. Magnetic resonance imaging confirmed effusion in the joint. Arthroscopy revealed that the pin was prominent intraarticularly, and the adjacent infrapatellar fat pad with surrounding synovial tissue seemed to be abraded. The pins were removed under arthroscopic guidance and any pain or hemarthrosis disappeared thereafter.
Abstract
A 24-year-old man underwent percutaneous fixation with pins for an undisplaced patellar fracture. At 7 months follow-up postoperatively, he presented with recurrent, painful swelling of the operated knee following trivial activities of daily life. Aspiration had been performed two times before he presented to us with symptoms. An x-ray showed that one of the pins was suspected to be protruding at the inferior pole of the patella. Magnetic resonance imaging confirmed effusion in the joint. Arthroscopy revealed that the pin was prominent intraarticularly, and the adjacent infrapatellar fat pad with surrounding synovial tissue seemed to be abraded. The pins were removed under arthroscopic guidance and any pain or hemarthrosis disappeared thereafter.
참고문헌 (7)
- Biddau F, "Migration of a broken cerclage wire from the patella into the heart. A case report", J Bone Joint Surg Am, 88, pp.2057~2059 (2006)
- Gardner MJ, "Complete exposure of the articular surface for fixation of patellar fractures", J Orthop Trauma, 19, pp.118~123 (2005)
- Galla M, "Patella fractures", Chirurg, 76, pp.987~997 (2005)
- Makino A, "Arthroscopic-assisted surgical technique for treating patella fractures", Arthroscopy, 18, pp.671~675 (2002)
- Canale ST, "Campbell’s operative orthopaedics. 11th ed", pp.3161~3169 (2008), Mosby
- Canale ST, "Fractures of lower extremity. Campbell’s operative orthopedics. 9th ed", pp.2110~2119 (1998), Mosby
- Turgut A, "Arthroscopic-assisted percutaneous stabilization of patellar fractures", Clin Orthop Relat Res, (389), pp.57~61 (2001)