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June 4, 1910

FRACTURE OF THE PATELLA: THE OPERATION OF CHOICE

Author Affiliations

Assistant Professor of Surgery, Georgetown University ; Associate in Surgery, Emergency Hospital WASHINGTON, D. C.

JAMA. 1910;LIV(23):1843-1848. doi:10.1001/jama.1910.92550490006002a
Abstract

TYPES OF FRACTURE  Before the birth of antiseptic surgery Severino, the brilliant Neapolitan surgeon, in 1598 performed the first open-suture operation on a fractured patella. His patient died. Three hundred years later, Lord Lister, the father of antiseptic surgery, repeated the same operation. His patient lived. This bit of history is conclusive of little but suggestive of much.Most frequent between the thirtieth and fiftieth year, rare under the twentieth, fracture of the patella is scarcely ever seen in children under 10. Eighty-eight per cent. of the cases are found in men. Of all bone fractures that of the patella represents 1.4 per cent. The decade between 40 and 50 years yields the highest number of cases.We may distinguish the open and the closed types, the transverse and the longitudinal, the oblique, the stellate, and the comminuted. As many as nine fragments have been found in this fracture.

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