Gap non-union of fracture patella: Case report

Fractures of the patella contribute almost 1% of all skeletal injuries. We report a case of an 8 cms gap non-union patella fracture in a patient and single staged surgery with functional outcome. A 45 year female patient came with complaints of instability and defect in his right knee since 3 years. On examination we found that gap nonunion of fracture patella. Patellar fracture was approached by anterior approach. V-Y quadriceps-plasty was done to mobilize the proximal fragment. Fracture was fixed with tension band wiring fixation with k- wires. Quadriceps and retinaculum were repaired. Postoperatively physiotherapy was started and follow up of patient was done at 6 weeks, 3 months and 6 months. Improvement of knee range of movement was noticed in follow-up period. V-Yquadriceps-plasty with TBW and encirclage gives good functional outcome in gap non-union patella fractures.