Modified Himawari Technique for Comminuted Patella Fractures: a case report - an economically yet rigidly efficient option

Authors

Leong Li Theng Dr, Hospital Kuala LumpurFollow
Eyrique Goh Boay Heong Dr, Hospital Kuala LumpurFollow

Designation

Orthopedic Surgeon (Musculoskeletal Oncology)

Abstract

Comminuted patella fracture is a tricky and complicated case to manage and yet a common fracture. It’s often complicated with post operative pseudoarthrosis, malunion, poor rehabilitation and reduced knee range of motion. Tension band wiring, Cerclarge wiring and screw fixation are the common surgical modalities however it’s unable to hold peripherally scattered fragments in place rigidly. It is often associated with failure osteosynthesis, fracture displacement, resulting in post op osteoarthritis. Here we demonstrate a case of a modification of the original Himawari Technique as a much cost-effective method compared to the original, while being a superior treatment option with good functional outcome as evidenced by a good Oxford knee score and Kujala patellofemoral score.

Recommended Citation

Li Theng, Leong Dr and Goh Boay Heong, Eyrique Dr (2024) "Modified Himawari Technique for Comminuted Patella Fractures: a case report - an economically yet rigidly efficient option," Manipal Journal of Nursing and Health Sciences: Vol. 10: Iss. 1, .
DOI:
Available at: https://impressions.manipal.edu/mjnhs/vol10/iss1/10