***
A kneecap fracture is one of the trickiest orthopedic surgeries in modern medicine.
There are many reasons.
First of all, the bone is small.
The shinbone, calf bone, and femur are all fairly large bones, so even when they break, it's easy to find the fragments.
But the kneecap is small, so once it shatters, the pieces are even harder to find.
Moreover, unlike a long bone—an elongated bone—it is a joint bone, so recovery is slower.
In addition, if the fragments spread apart, the quadriceps and patellar tendon are pulled like rubber bands, making reduction difficult, and the thin soft tissue raises the risk of infection...
For these and other reasons, kneecap surgery, along with foot surgery, is often considered one of orthopedics' especially difficult procedures.
But in this fantasy world, there was no need to worry about any of that...
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