Patella Fractures Treatment Options

How are patella fractures treated?

The treatment approach for patella fractures depends on various factors, including the severity and stability of the fracture, and the patient’s age, activity level, and overall health. Treatment options may include:

What non-operative options are available?

• Immobilization: Application of a cast, brace, or splint to stabilize the knee and promote healing of the fracture.
• Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) or analgesics to alleviate pain and discomfort during the healing process.
• Physical Therapy: Gentle range of motion exercises and strengthening activities to prevent stiffness and maintain muscle strength in the knee joint.

What operative options are available?

• Open Reduction Internal Fixation (ORIF): Surgical realignment of the fractured patella followed by internal fixation using screws, wires, or plates to hold the bone fragments together.
• Partial or Total Patellectomy: In severe cases where the fracture is irreparable or associated with extensive damage to the patella, partial or total removal of the kneecap may be necessary to restore knee function.
• Patellar Tendon Repair: Surgical repair of the patellar tendon if it is disrupted or detached from the fractured patella.

What does rehabilitation look like?

Post-operative rehabilitation is essential for restoring knee joint function and mobility after treatment for a patella fracture. Physical therapy typically involves a progressive exercise program focusing on strengthening the quadriceps and surrounding muscles, improving range of motion, and gradually reintroducing weight-bearing activities. Patient education on proper knee mechanics, activity modification, and injury prevention strategies is crucial for long-term recovery and prevention of recurrence.

Dr. Shane J. Nho is a board-certified fellowship trained sports medicine orthopaedic surgeon who specializes in the treatment of patellar fractures. If you believe you are affected by a patellar fracture, schedule a consultation today with our experienced orthopaedic care team.