In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. 98% all-cause survivorship in 261 Triathlon Tritanium Metal-Backed Patella at 4.5-year follow-up.15, Harwin et al. An additional treatment goal is restoration of function of the knee extensor mechanism and allow early range of motion of the knee. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. The Acumed Scapula Plating System offers indication-specific titanium plates that can address challenging fractures of the scapula, including the glenoid, medial and lateral border, acromion, and scapular spine. A longer period may be required if fracture healing is delayed. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Anchorage, Stryker, VariAx. The reduction of this fracture requires careful planning. Failure mechanisms of metal-backed patellar components 2017. The plates can be used circumferentially around the patella, in a similar fashion to a cerclage wire, or across the surface to resist distraction forces. Triathlon Tritanium Knee System - Stryker - PDF Catalogs - MedicalExpo Our plating portfolio ranges from indication specific plates and patented Smartlock technology to streamlined instrumentation for ease-of-use in the OR. Utilization rates of knee-arthroplasty in OECD countries. The depth and placement of these pegs was optimised by using the SOMA database, Stryker's unique population-based orthopaedic design environment . 0000032321 00000 n Clinical video of 25-year-old patient three months after patellar plating, demonstrating excellent function of the extensor mechanism. Clinical Orthopaedics and Related Research (2011) 469:1757-1765. A low prole 2.3 mm titanium mesh plate (Stryker, Mahwah, NJ) was cut to t, and then it was xed to the anterior surface of the patella using non-locking 2.3 mm screws (Figure 7A). This failure occurred in 16 knees of 14 patients. The Medial Border Plate can be used in conjunction with the Acumed Lateral Border Plate. Naples, FL; 2013. Increased aseptic tibial failures in patients with a BMI 35 and well-aligned total knee arthroplasties. 2018, https://www.aaos.org/globalassets/quality-and-practice-resources/surgical-management-knee/smoak-cpg_4.22.2016.pdf, Memtsoudis et al. Triathlon Tritanium Knee System. Plating | Stryker Version or Model: 6776-8-945 Commercial Distribution Status: In Commercial Distribution Note the stellate fracture pattern on the undersurface of the patella as this fracture is approached from the lateral parapatellar approach. Get In Touch with a Sales Consultant The Patella Fracture System includes everything needed to repair transverse patella fractures. UDI Lookup, Events Abdel et al. Trainings Static isometric quadriceps exercises should be started on postoperative day 1 with the splint in place. Current Problems in Diagnostic Radiology, July/August 2010. This set includes 4.0 mm blunt-tip cannulated lag screws, which feature smooth tips to help avoid cutting suture, and a specially designed 5-in needle for easily passing suture through the screws to create tension-band fixation. 16th Annual Report. Tritanium's innovative tibial baseplate and metal-backed patella components are SOMA-designed and enabled by Stryker's proprietary Additive Manufacturing technology. 0000001485 00000 n 5256. 1 ). J Arthroplasty 2015;30:2181e4. Early clinical outcomes of a new cementless total knee arthroplasty design. VariAx 2 | Stryker Cohen et al. Stryker's Tritanium 3D porous metal technology is found on the metal underside of the patella, as demonstrated by the Tritanium Metal-Backed Patella*. Elbow Arthrex - Patella SuturePlate II The set includes everything needed to perform a traditional repair. Accepted manuscript. Yayac et al. It covers the incision, the desired outcome, the osteotomy and fixation. Schreurs et al. Adherus and Adherus ET are the only FDA-approved hydrogel dural sealant with a patent pendingAutoSpray applicator with internal air pump. Arthrex, Inc. Data on file (Patella Fracture Study [Study #318]). All Stryker catalogs and technical brochures - MedicalExpo This construct has been shown to be stronger than the traditional K-wire with cerclage wire constructs.1. 0000035804 00000 n Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. View and Download Stryker Triathlon Knee System surgical protocol online. Triathlon Tritanium Knee System Knee Design Triathlon & The Single Radius Stable primary fixation of the implant is a prerequisite for biologic fixation.8 The less constrained the design, the less potential for stresses generated at the articulating surface to be transferred to the bone-implant interface.10 Triathlon CR and PS systems are designed to minimize dynamic stress transfer to the . In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. Provides an innovative plating system for stabilizing scapula body and glenoid neck fractures. FiberWire is superior in strength to stainless steel wire for tension band fixation of transverse patellar fractures. AdvaMed Code of Ethics Patented SmartLock polyaxial locking technology, Locking screws can be angled 15 for a total range of 30. PDF Dall-Miles Recon and Trauma Cable System Surgical Protocol Biomaterials (2008), 1-13. Delivered by Stryker, the leader in foot and ankle 5, PROstep minimally invasive surgery helps you give patients the bunion pain relief they need, while also providing the faster recovery 2,3 they desire 5. Simplicity and adaptability with seven new indication specific plates using the comprehensive locking and non-locking screw system. Grants No revision due to aseptic or septic loosening of Triathlon Tritanium Baseplate at two-year follow-up.18, Masini et al. 2019;34(2):309-314, American Joint Replacement Registry (AJRR): 2019 Annual Report. The resulting construct should be strong enough for early motion to be started. Early progressive, active mobilization is beneficial after surgery. 0000034919 00000 n Documents AxSOS 3 Ti Proximal Tibia | Stryker - Stryker Corporation Manufactured byHyperBranch Medical Technology, Inc., a subsidiary of Stryker, located in Durham, North Carolina USA. 0000019398 00000 n The product has AVON Femoral Components and AVON Patella Components and has bone sparing as well. All other trademarks are trademarks of their respective owners or holders. This produces clinical signs and symptoms that usually require revision. Screws oppose tissues via drilling as follows: soft tissue-to-bone, tendon-to-bone, or bone-to-bone fixation. The Acumed Scapula Plating System offers indication-specific titanium plates that can address challenging fractures of the scapula, including the glenoid, medial and lateral border, acromion, and scapular spine. 0000024602 00000 n Internal testing TI4282. Medial border, lateral border, acromion, and glenoid plates for comprehensive fixation of scapula fractures. Countersink - designed to reduce palpability, MR conditional - allows diagnosticsafter implantation, Variety of mesh types - strength vs malleability, New 0.3mm Hybrid mesh - 3x stronger than 0.3mm Dynamicmesh1, Has stiffness equivalent to golden 2D mesh2, Used for open defects up to 70mm and muscle attachment3, Pre-formed minimizes bending effort to fitpatient, MR conditional allows diagnostics after implantation, Countersink - designed to reducepalpability, Increased stiffness, for increased patientprotection, compared to 2D mesh2, Used for open defects up to the size of the mesh and muscle attachment3, Anatomically pre-formed minimizes bending to fit patient, MR conditional allows diagnostics afterimplantation, 1. Compared to traditional K-wires, this construct has been shown to be stronger.1. The knee joint and fracture lines must be irrigated and cleared of blood clot and small debris to allow exact reconstruction. The Acromion Plates are an integral piece of the Scapula Plating System, and may be used individually or together with the Acumed Medial Border Plate, Lateral Border Plate, and Glenoid Plate. %PDF-1.7 % Transport chair (98 pages) Medical Equipment Stryker Triathlon Knee System Surgical Protocol. This visual case study of a poly-trauma patient, presented by William Geissler, Professor and Chief, Division of Hand and Upper Extremity Surgery, University of Mississippi Medical Center, demonstrates the step-by-step process for plate fixation of a scapula fracture. %%EOF Orthopaedic Trauma | DePuy Synthes - J&J MedTech TI4580 Mesh Upgrade 3D Mesh Impression Test with 70mm Defect. Hoffmann II Compact External Fixation System For Use in Maxillofacial Surgery. All Products Cementless total knee arthroplasty (TKA) with Triathlon Tritanium is the latest evolution in the Triathlon knee portfolio. Rosemont, IL: American Academy of Orthopaedic Surgeons (AAOS), 2019, Nam D., et al. Triathlon Tritanium combines the kinematics of Triathlon with the latest in highly porous biologic fixation technology. We use cookies to customize content for your viewing and for analytics. Journal of Knee Surgery. J Knee Surg. Henderson, CE et al. The information presented is intended to demonstrate the breadth of Stryker's product offerings. Todd M. Oliver, MD, (Columbia, MO) demonstrates patella fracture fixation using 4.0 mm blunt tipped cannulated screws along with a FiberTape tension band. Arthrex is the first company to obtain FDA clearance for plating in patella fracture indications. Plate, fixation, bone (50) Prosthesis, Ankle, Uncemented, Non-Constrained (44) Screw, fixation, bone (42) . 0000000016 00000 n If you choose to logout it will log you out from all the applications. The multifragmentary pattern can also be seen in the lateral view. If you choose to logout it will log you out from all the applications. Journal of Arthroplasty. Designed for direct medial or posteromedial placement, You can use it in conjunction with proximal lateral tibia plate, May allow for a less rigid construct, potentially resulting in increased callus formation and secondary healing, Superior posterior rafting and kick-stand, You can use it in conjunction with proximal medial tibia plate. Triathlon Tritanium combines the kinematics of Triathlon with the latest in highly porous biologic fixation technology. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. 0000043154 00000 n The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. E: info@acumed.net Orthopedic Implants, Materials, and Devices More. 0000016908 00000 n The anatomically contoured plates may minimize the need for plate bending, while implant placement and screw fixation to osseous regions of superior scapular thickness may increase construct strength. Agility Total Ankle Titanium alloy tibial Countersink - designed to reduce palpability, Adherus and Adherus ET are the only FDA-approved hydrogel dural sealant with a patent pendingAutoSpray applicator with internal air pump. Variable Angle Locking Anterior Patella Plates (2.7 mm) Universal mesh: now with countersink capabilities that reduce palpability. Wright PB, Kosmopoulos V, Cot RE, Tayag TJ, Nana AD. Dr. Adam Schiff demonstrates a Metatarsal Fracture procedure using VariAx fracture plates. 0000016139 00000 n 0000033193 00000 n Plating that fits. 0000015320 00000 n Presented at: American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting. If you choose to logout it will log you out from all the applications. Results of cemented vs cementless primary total knee arthroplasty using the same implant design. The recalls included nearly 250,000 package and label issues, knee implant parts and tools used in knee replacement surgery from 2014 through 2017 alone. 1st Metatarso-phalangeal (MTP) Arthrodesis, Proximal 5th metatarsal fracture (Jones fracture), Lateral Column Lengthening (Evans Osteotomy), First tarsometatarsal joint arthrodesis (Lapidus), Medial cuneiform dorsal opening wedge (Cotton) osteotomy. FiberTape, 2 mm with Braided Polyblend Suture Blue with Straight Needle, Low Profile Screw, Cannulated, Blunt Tip, 4 x 24 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 26 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 28 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 30 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 32 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 34 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 36 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 38 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 40 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 42 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 44 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 46 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 48 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 50 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 55 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 60 mm. J Arthroplasty. This video demonstrates a calcaneal cuboid fusion. Further customization through contouring of the plate onto the bone may be performed before placing the screws. It covers the incision, the desired outcome, the osteotomy and then two different methods of fixation. 100% all-cause survivorship in 72 Triathlon Tritanium TKAs at mean three-year follow-up.10Tritanium Baseplate, Tritanium Metal-Backed Patella and CR PA beaded femurs were used. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. T: 888.627.9957 Both plates are anatomically shaped and provide unidirectional angular-stability as well as suture holes for the fixation of soft tissue to the plate. Care should be taken to prevent screw penetration into the joint. The surgical technique guide includes two sections: Complex Fractures - 3-hole and 6-hole plates are recommended. STRYKER TRIATHLON TRITANIUM SURGICAL MANUALLINE Pdf Download 2018;41(6):e765-e771. Innovative instruments are included along with sternal wire drivers, Weber clamps, drill guides, and Stout wire cutters, giving surgeons all necessary instruments needed in one convenient set. Published online June 19, 2020. Outcomes of newer generation cementless total knee arthroplasty: beaded periapatite-coated vs highly porous titanium-coated implants. Implant removal may be required, as the wires may be prominent under the skin. Cementless designs with features that aid in initial implant stability have been show to provide durable long-term results 2; the Triathlon Tritanium baseplate features a keel and four (4) bullet cruciform pegs to reduce micromotion and liftoff 3,4. 2020, 100% aseptic survivorship in 28 Triathlon Tritanium Baseplates with CR PA beaded femur at five-year follow-up.14. 0000042563 00000 n X-rays should be taken at 2, 6 and 12 weeks. 10 Pages. Note the extensive multifragmentary fracture pattern on the AP. Licensed from Prof. D. Wolter, Hamburg, GermanyStryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Anchorage, Stryker, VariAx. Sinicrope et al. In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. Each piece of the comminuted patella will require at least one point of fixation if not more. iD Solutions - Individually Designed. Pilon fractures are defined as intra-articular fractures of the distal tibial plafond and being in a load bearing joint they are serious and usually life changing . It is, therefore, highly desirable, in patellar fractures to strive for anatomical reduction of the joint surface and stable fixation. 0000007480 00000 n 2 Pages. Tritanium's innovative tibial baseplate and metal-backed patella components are SOMA-designed and enabled by Stryker's proprietary Additive Manufacturing technology. About Acumed a minimum 5-year follow-up. FiberTape, 2 mm with Braided Polyblend Suture Blue with Straight Needle, Low Profile Screw, Cannulated, Blunt Tip, 4 x 24 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 26 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 28 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 30 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 32 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 34 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 36 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 38 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 40 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 42 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 44 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 46 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 48 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 50 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 55 mm, Low Profile Screw, Cannulated, Blunt Tip, 4 x 60 mm, Surgical Technique Videos | 07:26 | English | 07/05/2016 | VID1-00635-EN B, Surgical Technique Videos | 09:57 | English | 04/04/2022 | VID1-002599-en-US A, Surgical Technique Animations | 01:54 | English | 03/19/2020 | AN1-00144-EN D, Surgical Technique Guides | English | 06/16/2016 | LT1-00012-EN B, 09:57 | English | 04/04/2022 | VID1-002599-en-US A, 04:22 | English | 02/04/2022 | VID1-003070-en-US A, 06:28 | English | 01/06/2020 | VID1-000674-en-US A, 13:59 | English | 06/04/2018 | VID1-01280-EN A, 07:26 | English | 07/05/2016 | VID1-00635-EN B, 02:13 | English | 01/13/2023 | AN1-000279-en-US B, 02:32 | English | 06/10/2021 | AN1-000273-en-US A, 01:54 | English | 03/19/2020 | AN1-00144-EN D, English | 03/03/2023 | LT1-000206-en-US B, English | 11/25/2020 | LT1-000190-en-US A, 01:08 | English | 09/20/2018 | PAN1-00144-EN D, 09:28 | English | 05/19/2020 | VID1-000948-en-US A, 15:52 | English | 05/25/2018 | VPT1-01042-EN A, 01:20 | English | 11/10/2017 | VID1-00639-EN C, 08:25 | English | 10/23/2017 | VPT1-00849-EN A, English | 04/12/2019 | DOC1-000054-en-US A. 0000048947 00000 n Scapula Plating System | Acumed The precontoured plates are designed to closely match the patient's natural acromion curvatures, which may help in the reconstruction of even severely displaced acromion fractures. Please contact your sales representative if you have questions about the availability of products in your area. <]/Prev 484465>> The locking patella plate (Arthrex, Munich, Germany) is available in two different specifications: the Arrowplate and the Starplate ( Fig. 12 Pages. PDF VariAx Clavicle Locking Plate System - Stryker MedEd 0000001156 00000 n For plates, screws, bone void fillers, and DBM: C1713 - Implantable pins and/or screws that are used to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone. All other trademarks are trademarks of their respective owners or holders. Universal Neuro III. Patellar plating for Complete articular, frontal/coronal PROSTEP MIS utilizes percutaneous, micro incisions to correct bunions as well as perform DMMO, cheilectomy and other procedures. The Patella Fracture System includes everything needed to repair transverse patella fractures. Gold 3D mesh Countersink - designed to reduce palpability Has stiffness equivalent to golden 2D mesh 2 Used for open defects up to 70mm and muscle attachment 3 Pre-formed minimizes bending effort to fit patient MR conditional allows diagnostics after implantation Silver 3D mesh Countersink - designed to reduce palpability 0000002679 00000 n <> 2017;32(7):2156-2160. Patella SuturePlate II To address various types of fractures, the Patella SuturePlate II system offers three types of plates in different sizes. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. Certain products may not be approved for sale in all countries. 2019, Matched comparison of 200 Triathlon Tritanium Baseplates with PS PA beaded femur vs. 200 Triathlon PS cemented TKAs showed similar functional and survivorship outcomes between two cohorts with 99.95% aseptic survivorship for Triathlon Tritanium baseplate at mean 2.4 year follow-up.19, Miller et al. News Mont MA, Harwin SF. hb```b`` vAX,3Mp X':Z$PY"}n5. 0000008580 00000 n Mesh Plate Fixation for Complex Patella Frctures: A Surgical Technique Consideration should be given to thrombo-embolic prophylaxis, according to local treatment guidelines. The surgical technique guide includes two sections: Complex Fractures - 3-hole and 6-hole plates are recommended. Knee Replacement Recalls | Stryker, Zimmer & DePuy Knee Recalls trailer Masini et al. 3. The demonstration is performed by Dr. Kai Olms. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. The Patella Fracture System includes everything needed to repair transverse patella fractures. The Patella Fracture System includes everything needed to repair transverse patella fractures. Rome, Italy. The progressive increase in loading of the patello-femoral joint depends on many factors and requires planned individual programs, designed by the surgeon and physical therapists. Arthrex - Patella Fracture System 3: Conditional 6 More. Wound healing should be assessed regularly during the first two weeks. Harwin et al. Osteoarthritis and Cartilage 2015; 23: 1664e1673, Johnson et al. Our e-learning platform contains high resolution images and a certified CME of the Pilon Fracture: C-type fixed with Stryker AxSOS 3 Periarticular Plating System surgical procedure. Large bone fragments compression bone plate AxSOS Stryker Cystoscope endoscope / rigid Stryker Human intramedullary nail / humerus Gamma3 Stryker 0000036569 00000 n Silverstein et al. Implant removal should not be undertaken until a minimum of 1 year postoperatively. All plates are made of titanium and have a low-profile thickness of 1.6 mm with screws sitting flush on the plate. J Arthroplasty. Williams, DF. Increased survivorship of cementless versus cemented TKA in the morbidly obese. Solving complicated fractures with simple innovative solutions Plating that fits. Unalloyed titanium for implants in bone surgery. 2018;33(4):1089-1093. Hand & Wrist 120-mm plate 4.0-mm x 60-mm length self tapping cancellous locking screw 3.5-mm x 50-mm length self tapping cortical compression screw 3.5-mm x 40-mm length self tap. For further information please read our cookie policy. The Patella Fracture Set was specifically designed to address common obstacles (eg, amount of comminution, degree of osteoporosis, and natural forces across the patella) and to facilitate fixation of challenging injuries. 2019. 0000049387 00000 n Perioperative and Early Postoperative Comparison of a Modern Cemented and Cementless Total Knee Arthroplasty of the Same Design. Marmon UK tax strategy, OsteoMed is a wholly-owned subsidiary of Acumed, Products This video demonstrates a medial column fusion. The Patella Fracture System includes everything needed to repair transverse patella fractures. Despite, wearing a splint to protect against never losing complete extension, range of motion is done throughout the day with the splint off. It is, therefore, highly desirable, in patellar fractures to strive for anatomical reduction of the joint surface and stable fixation. For this procedure a mid-axial longitudinal approach is used. Plating that fits. The Acumed Acromion Plate provides fixation for fractures along the acromion of the scapula spine. EasyClip. Screw & Pin 2009;24(4):518-527, Pabinger et al. Locate A Rep, Compliance It covers the incision, the desired outcome, the osteotomy and fixation. Fit for patients Fit for procedures Fit for you Fit for the future Contact Related categories This construct has been shown to be stronger than the traditional K-wire with cerclage wire constructs.1. Stryker MedEd 2018 World Arthroplasty Congress. 2010 Mid-America Orthopedic Association Physician in Training Award: Healing Complications are Common After Locked Plating for Distal Femurs. Harwin et al. Low patella complication and accurate patella tracking can be achieved with this product. 99.5% all-cause survivorship in 1024 Triathlon PS cementless TKA at four-year follow-up.16Both Tritanium and PA beaded versions of the tibial baseplate and metal-backed patella were included. Roughly 97 percent of all recalls during that timeframe involved knee replacements from just three manufacturers: Zimmer-Biomet, DePuy and Stryker. Privacy Policy Outcomes of cementless-backed patellar components. Evidence-based clinical practice guideline. Bhowmik-Stoker et al. Locking plate system for reconstruction or arthrodesis of small bones, including the fore, mid- and hind foot and ankle. J Arthroplasty. American Academy of Orthopaedic Surgeons (AAOS) 2019 Annual Meeting poster. In frontal/coronal (transverse) fractures, reduction is easier with the knee extended. Patellar fixation is generally quite stable. Cementless total knee arthroplasty resulting in no revisions due to tibial component loosening and improved outcomes. J Knee Surg. The patello-femoral joint is biomechanically very stressed when the knee is loaded. Sagittal fractures are more easily reduced with the knee flexed. 0000018274 00000 n Pilon Fracture: C-type fixed with Stryker AxSOS 3 Periarticular Plating Instructions The Lancet (2017), volume 389, Issue 10077, P1374-1375. Active knee function requires an intact knee extensor mechanism, a mobile patella, a well-preserved patello-femoral joint and muscle strength.After satisfactory reduction and fixation of patellar fractures, early controlled range of motion exercises are combined with static quadriceps strengthening exercises.