Patellar Fracture Management and Interventions

What percentage of all fractures do patellar fractures represent?

1% of all fractures.

What are common causes of patellar fractures?

Commonly result from a direct blow, such as a fall on the patella or a car accident.

What is the initial non-operative treatment for closed, nondisplaced patellar fractures?

Patients are immobilized in knee extension and allowed to weight bear as tolerated in a locked brace.

How should significant effusion in a patellar fracture be treated?

With ice and compression.

What exercises can be performed immediately after a patellar fracture?

Quadriceps setting and straight leg raises can be performed as soreness allows.

When should gentle knee range of motion (ROM) exercises be started after a patellar fracture?

Once callus is evident.

What is expected regarding quadriceps strength after a patellar fracture?

Quadriceps strength deficits are expected.

When should resisted quadriceps exercises be initiated after a patellar fracture?

Not for at least 6 weeks.

What is the focus of rehabilitation once range restrictions are discontinued?

Balance training.

What is the goal of patellar mobilization in rehabilitation?

To regain range of motion.

What is the expected limitation in knee flexion after a patellar fracture?

Unlikely to regain more than 100 degrees of knee flexion.

What factors influence the choice of fixation devices in operative management of patellar fractures?

Fracture pattern, degree of displacement, and surgeon preference.

What is a common long-term risk for patients after a patellar fracture?

Increased risk of patellofemoral joint arthritis.

- Resisted Quad exercise should NOT be started for at least _________!

6 weeks