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Article
January 3, 1903

THE TREATMENT OF TRANSVERSE FRACTURE OF THE PATELLA BY SUBCUTANEOUS PURSE-STRING SUTURES.

Author Affiliations

PHILADELPHIA.

JAMA. 1903;XL(1):22-27. doi:10.1001/jama.1903.92490010022001d
Abstract

In April, 1896, I reported1 a case of patellar fracture satisfactorily treated with a catgut ligature carried around the fragments, in the coronal plane, making a sort of purse-string suture. This method seemed to me preferable to Barker's method, in which the ligature is introduced in the sagittal plane and traverses the knee joint and prepatellar bursa. I do not know that the method was new, but it is certainly deserving of extended use. Further experience has increased my confidence in it and leads me to advocate its adoption. It requires no special apparatus, such as Malgaigne's hooks, does not invade the knee joint or the synovial sac in front of the patella, and demands no general anesthetic. It is practically free from septic risks, allows the patient to get out of bed soon, and results in such a close union of the fragments that, even if true bony

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