Operative patella fracture–Should it be operatively treated with a tension band technique or a newer plate?

Cyr, Kayla; Greene, Helena; Buckley, Richard

doi:10.1016/j.injury.2022.12.015

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This information may indicate that the standard surgical procedure with tension band wiring may be less successful in comminuted fractures sustained by older patients. The development and introduction of plate fixation to comminuted patella fractures have, in recent years, been more common, and recent literature supports a lower rate of complications compared to tension band wiring, although no large-scale studies or RCT studies are available [ 10 , 11 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

High risk of complications following surgical treatment of patella fractures — a cross-sectional study of 798 patients with mean 6.4 years follow-up

Larsen,

Arildsen,

Kristensen

et al. 2024

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Purpose This study aimed to investigate the incidence of early and late complications following treatment of patella fractures. Secondary aims were to investigate the association between early and late complications and the patient-reported outcome measurement, the Knee Injury and Osteoarthritis outcome score (KOOS). Methods Cross-sectional study including all patients recorded with a patella fracture residing in the Northern Region of Denmark between 2010 and 2020. Early (before 3 months) and late complications were investigated by retrospective review of charts and x-rays. All patients were invited to participate in the study by reporting current knee-specific symptoms. The KOOS was used to investigate patient-reported knee-specific symptoms. Results Seven hundred ninety-eight patients were included in the study. A total of 532 (67%) patients were treated conservatively, and 266 (33%) patients underwent surgery. The mean age at the time of fracture was 66.8, ranging from 6 to 103 years of age. The mean follow-up time was 6.4 years, ranging from 1.1 to 12.3 years follow-up. Overall, the rate of complications was 26%. Overall, the rate of complication for the surgical group was 57% and for the conservative group 4%. The most common early complication was the loss of reduction followed by the removal of symptomatic hardware. The most common late complication was the removal of symptomatic hardware and knee arthroscopy. In all the five KOOS subscales (Pain, Symptoms, ADL, Sport/Rec, and QOL), patients presenting with early and late complications reported statistically significantly worse scores than those without complications. Conclusion The overall incidence of complications in patients presenting with a patella fracture was 26%, with a mean follow-up time of 6.4 years. In the surgical group, 57% of patients experience at least one complication during the follow-up period. Early and late complications were significantly associated with worse KOOS subscale scores.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Screws and Kirschner wires are commonly used with tension band wiring [ 2 , 6 – 9 ]. Moreover, plate fixation of patella fractures has become increasingly popular in recent years [ 10 , 11 ]. Conservative treatment included immobilisation of the knee joint in a cast or brace for 6–8 weeks [ 2 ].…”

Section: Introductionmentioning

confidence: 99%