The results of this study are a little surprising to me as I have always favored a rigorous attempt to restore the patella articular surface in surgical treatment of patella fractures. The truth is, though, that patients don't always do so well after commented patella fractures, despite the best of efforts.
My concern with the findings of this study is that some surgeons might pay less attention to articular restoration in these serious, life-changing injuries to the patella.
Perhaps the best way to process the Lee study is to be realistic in treating comminuted patella fractures. I do believe; however, that we must not relax and ignore the potential life-changing consequences of patella fractures and, at least, make a reasonable effort to optimize the joint by articular restoration.
John P. Fulkerson, MD
President of The Patellofemoral Foundation
Disclosures: Fulkerson reports no relevant financial disclosures.