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April 30, 1938

TREATMENT OF FRACTURED PATELLA WITH EXTERNAL PURSE STRING

Author Affiliations

Brookville, Pa.

JAMA. 1938;110(18):1507. doi:10.1001/jama.1938.02790180095023

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Abstract

To the Editor:—  A simple but effective procedure has been found of service in the conservative treatment of simple or comminuted fractures of the patella. After the blood has been removed from the joint and the thigh flexed on the body with the leg in extension by some such apparatus as a Thomas splint, an external purse string is applied to the patella in the following manner: Pressure pads are applied and fastened by adhesive tape to the periphery of the patella; partially unrolled bandages well compressed will suffice. Then a length of elastic rubber tubing is carried around the pads, drawn snugly and clamped. It is well to use a small pad on each side of the patellar ligament. If a pad is placed on the ligament, the force applied will tend to tip the lower fragment forward; i. e., the fracture line will be forced away from the

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