Comparison of minimally invasive percutaneous fixation versus open patella fracture fixation.

Orthopedic

Background The standard treatment for displaced patella fractures has historically been open reduction internal fixation (ORIF). There are certain disadvantages to this surgical strategy that could impact patient outcomes and prognosis. To get around these drawbacks, minimally invasive percutaneous fixation, or MIPF, was suggested. There haven't been many thorough studies done to establish whether MIPF is better than ORIF. Comparing the effectiveness of MIPF and ORIF for patella fractures was the goal of this investigation. Objective To determine the Comparison of minimally invasive percutaneous fixation versus open patella fracture fixation. Methods A cross-sectional study was conducted at Jinnah Hospital Lahore Pakistan, which was performed between September 2022 to October 2024, The total number of patients in our study were 100 who were patella fracture due to road accident or fall history. The number of Male patients were 65 and female were 35. We compared Minimally invasive surgery for patella fracture vs open surgery. For all patients, we did diagnostic tests X-Ray preoperative and postoperative. The doctor gave general anesthesia for the surgery. Surgery last from 45 minutes to 2 hours depend on surgical procedure. We also took detailed history from the patients about the signs and symptoms. Data was tabulated and analyzed by SPSS version 27. Result In a current study total 100 patients were enrolled. The minimum age of patients were 27 years and the maximum age of the patients were 52 years. The mean age were 38.20±7.047 years. The minimum BMI were 22 (Kg/m2) and the maximum were 34. The mean BMI were 27.50±3.489 (Kg/m2). The minimum minimally invasive surgery time of patients were 40 minutes and the maximum were 52 minutes. The mean of Minimally invasive surgery time (Min) were 45.70±4.108. The minimum open surgery time were 1 hour and the maximum were 2 hours. The mean of open surgery time were 1.35±0.479. The frequency of the mechanism of injury of fall patients were 45 and its percentage were 45.0. The frequency of the mechanism of injury of traffic accident patients were 55 and the percentage were 55.0. The p-value were 0.044. The frequency of side of injury left side were60 and the right side were 40 patients. The frequency of type of fracture, lower pole fracture were 15, transverse fracture were 45 and vertical fracture were 40 patients. Conclusion We concluded that Minimally invasive percutaneous surgery (MIPS) is more favorable than Open surgery (OS) in terms of the pain score, knee range of motion, joint functionality, complications, and implant removal rate. Thus, Minimally invasive percutaneous surgery can be adopted as an alternative to open surgery.

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