PMC6146672_01
Preoperative clinical and radiological images showing proximal fragment in the distal third of the thigh (a, b).
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fig1
The lower pole of the patella was palpable just above the left tibial tuberosity (Figure 1). The X-ray of the left knee confirmed that the superior fragment of the patella was present in the distal third aspect of the thigh and the lower fragment close to the tibial tuberosity (Figure 1).
Intraoperative images of quadricepsplasty, reduction, and fixation of the patella (a-f).
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fig2
The patient underwent surgery by anterior approach where quadricepsplasty and tension band wiring for the patella were performed after bringing the superior fragment down (Figure 2).
Postoperative X-ray, suture line, current X-ray, and present knee range of movement (a-f).
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fig3
The range of motion improved to 0-110 degrees at 3 months follow-up (Figure 3).