[Surgical tactics and the results of the treatment in patellar fractures].

The work analyses problems of the diagnosis, choice of therapeutic tactics, and the results of operative treatment in 119 patients with various fractures of the patella. Emergency operative treatment is recommended in patellar fractures with damage to the extension apparatus of the knee. The authors believe osteosynthesis with application of a "tightening" wire loop after Weber to be the method of choice in transverse and macrofragmental fractures of the patella (92 cases). Avulsion fractures of the lower patellar pole are an indication for removal of the freely lying bone fragments and subsequent application of a "blocking" wire loop. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into traumatological practice.