Abstract
Objective To describe the surgical technique for the use of a mesh plate in a case of comminuted
patellar fracture and the mid-term follow up outcomes.
Materials and Methods We present a case of comminuted patella fracture managed with the use of a mesh plate
and an associated cannulated screw, thus avoiding partial patellectomy and its possible
complications.
Results Four months postoperatively, the patient presented full knee range of motion and
could be discharged to return to work, with no complications or reinterventions.
Discussion The use of mesh plates enables the management of comminuted patellar fractures preserving
bone stock and restoring the extensor mechanism with a stable and little prominent
osteosynthesis. Cases which previously would only have been treated by partial patellectomy
and patellar tendon reinsertion can be treated with these plates.
Conclusion The use of mesh plates for comminuted patellar fractures is an attractive option
due to their stability, their ability to preserve bone stock, and the low rates of
reintervention.
Level of evidence V.
Keywords
patella - comminuted fracture - mesh plate - difficult patellar fracture
