A study on functional and radiological outcomes of patella fracture surgery /

Patella, being the largest sesamoid bone in the body, plays important role in providing mechanical advantage of the knee extensor mechanism, protecting femoral condyles from injury, and nourishing articular cartilage of distal femur. In general, patella fracture accounts for 1% of all skeletal fract...

Full description

Saved in:
Bibliographic Details
Main Author: Faisal Amir Si Mirah (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2019
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
Tags: Add Tag
No Tags, Be the first to tag this record!
LEADER 035470000a22003490004500
008 210119s2019 my a f m 000 0 eng d
040 |a UIAM  |b eng  |e rda 
041 |a eng 
043 |a a-my--- 
100 0 |a Faisal Amir Si Mirah,  |e author 
245 1 2 |a A study on functional and radiological outcomes of patella fracture surgery /  |c by Faisal Amir bin Si Mirah 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2019 
300 |a xi, 64 leaves :  |b colour illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
337 |2 rdamedia  |a unmediated 
338 |2 rdacarrier  |a volume 
338 |2 rdacarrier  |a online resource 
347 |2 rdaft  |a text file  |b PDF 
500 |a Abstracts in English. 
500 |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Orthopaedic Surgery." --On title page. 
502 |a Thesis (MORTH)--International Islamic University Malaysia, 2019. 
504 |a Includes bibliographical references (leaves 46-50). 
520 |a Patella, being the largest sesamoid bone in the body, plays important role in providing mechanical advantage of the knee extensor mechanism, protecting femoral condyles from injury, and nourishing articular cartilage of distal femur. In general, patella fracture accounts for 1% of all skeletal fractures. This study was designed to evaluate functional and radiological outcomes following patella fracture surgery. 22 cases of patella fractures were surgically treated in Hospital Sultanah Nur Zahirah (HSNZ), Kuala Terengganu between 1st January 2018 and 1st June 2019. Functional outcome was evaluated using Knee Injury and Osteoarthritis Outcome Score (KOOS) at 6 months post-operatively. Radiological outcome was assessed using standard knee joint radiographs at 6 weeks and 12 weeks post-operatively. Majority of patients were Malays (95.5%) and male (72.7%), with the mean age of 37. All of the patients sustained injury either from motor vehicle accident (63.6%) or fall (36.4%). Three surgical fixation techniques were used – tension band wiring, screw fixation and cerclage wiring. The mode of fixations was determined by the surgeons based on fractures type and pattern in accordance to principles of orthopaedic surgery. 16 patients were operated by medical officer while 6 patients were operated by specialist. The mean KOOS outcome subscale scores were: pain 86.0 (range 67-97), symptoms 87.2 (range 57-100), activities of daily living 88.0 (range 56-99), sport/recreation 67.7 (range 25-100), and quality of life 66.8 (range 25-94). Radiologically, all fractures were united after 12 weeks and no fracture fixation failure identified in this study. In conclusion, surgically treated patella fractures provide good to excellent functional and radiological outcomes at short-term follow up. 
596 |a 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
700 0 |a Khairul Nizam Siron @ Baharom,  |e degree supervisor 
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u http://studentrepo.iium.edu.my/handle/123456789/10329  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
900 |a sz to ash 
999 |c 441304  |d 471667 
952 |0 0  |6 XX(565342.10)  |7 0  |8 THESES  |9 763192  |a KIMC  |b KIMC  |c CLOSEACCES  |g 0.00  |o XX(565342.10)  |p 11100424255  |r 1900-01-02  |t 1  |v 0.00  |y THESIS