PATELLECTOMY WITH VASTUS MEDIALIS OBLIQUUS ADVANCEMENT FOR COMMINUTED PATELLAR FRACTURESA PROSPECTIVE RANDOMISED TRIALI. Günal, MD, Associate Professor1; A. Taymaz, MD, Orthopaedic Surgeon2; N. Köse, MD, Resident1; E. Göktürk, MD, Professor1; and S. Seber, MD, Professor1
1 Department of Orthopedics, Osmangazi University Hospital, 26480 Eskisehir, Turkey. Correspondence should be sent to Dr I. Günal at Porsuk Bulvari, Marti Apt., No: 65/2, 26010 Eskisehir, Turkey. We have compared the results of simple patellectomy (group A, n = 16) and patellectomy with advancement of the vastus medialis obliquus (group B, n = 12) in a prospective, randomised trial, with a minimum follow-up of three years. The results in group B were significantly better (p < 0.001) than those in group A. Although the patella should be preserved if possible, we advocate advancement of the vastus medialis obliquus when patellectomy is necessary.
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