Plating of Patella Fractures

Taylor, Benjamin C.; Mehta, Sanjay; Castañeda, Joaquín Fernández de la Concha; French, Bruce; Blanchard, Chris M.

doi:10.1097/bot.0000000000000039

Cited by 59 publications

(16 citation statements)

References 19 publications

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“…In 2014, Taylor et al 6 described 6 OA 34-C3 type fractures and 2 symptomatic nonunions of 34-C1 fractures with an average age of 47.4 years. They used lag screw fixation in most (7 of 8) cases, X-plate in 5 fractures, and mesh in 2 fractures.…”

Section: Discussionmentioning

confidence: 99%

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Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

Matthews

Hazratwala

Rosa

2017

Geriatr Orthop Surg Rehabil

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Objectives:To review comminuted patella fracture in the elderly patients and examine the surgical options to avoid complications such as fixation failure and poor functional outcome. To provide an example of mesh augmentation in comminuted patella fracture in the elderly patients.Data Sources:A literature review was conducted by the authors independently using Ovid, Medline, Cochrane, PubMed, and Clinical Key in English. We aimed to review data on patients older than 65 with comminuted patella fracture. Search conducted between July and December 2015.Study Selection:Search terms included patella fracture, elderly, and fixation failure. Abstracts were included if they were a case report, cohort series, or randomized control trial. Further inclusion criteria were that they were available in full text and included patient age(s), operative details, follow-up, and outcome discussion.Data Extraction:Each study was assessed according to its level of evidence, number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized.Data Synthesis:Paucity of data and heterogeneity of studies limited statistical analysis. Data are presented as a review table with the key points summarized.Conclusion:In patella fracture, age >65 years and comminuted fracture pattern are predictors of increased fixation failure and postoperative stiffness, warranting special consideration. There is a trend toward improved functional outcomes when augmented fixation using mesh or plates is used in this group. Further level 1 studies are required to compare and validate new treatment options and compared them to standard surgical technique of tension band wire construct.

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Section: Discussionmentioning

confidence: 99%

“… 3 Recently, there has been a trend to plate or mesh-augmented fixation with good outcomes reported. 4 – 6 …”

Section: Introductionmentioning

confidence: 99%

Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

Matthews

Hazratwala

Rosa

2017

Geriatr Orthop Surg Rehabil

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“…Other new fixations, such as fixed-angle plating and locking plate, need extra screws to fix the plate on the patella and have limitation in osteoporotic patients or severely comminuted fractures. [20] Differently, the TNSMPC can fix the fracture independently by its claws and causes no extra bone loss, which can achieve excellent outcomes in osteoporotic or comminuted cases. The study conducted by Yutong Zhang et al described another similar patellar concentrator and report desired outcomes in pole fracture or comminuted patellar fractures.…”

Section: Follow-up Assessmentmentioning

confidence: 99%

Clinical outcomes of Ti-Ni shape-memory patella concentrator combined with cannulated compression screws in the treatment of C2 and C3 patella fracture: a retrospective study of 54 cases

Chen

Sun

et al. 2020

Preprint

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Purpose The purpose of this study was to investigate the efficiency of Ti-Ni shape-memory patella concentrator(TNSMPC) combined with cannulated compression screws in the treatment of comminuted patella fracture. Methods Between January 2014 and January 2017, 54 patients of C2 and C3 patella fractures underwent open reduction and internal fixation with TNSMPC combined with cannulated compression screws. All the patients got standard postoperative rehabilitation programs and were regularly followed up for at least 12 months after the operation. X-rays, knee functions and life quality were evaluated during the follow-up. Results All the patients achieved bone healing and recovery of knee function with low incidence of complications according to X-rays and questionnaire surveys. The average operation time and blood loss during surgery were 77.5±25.12minutes and 24.25±4.70ml respectively. The Knee Outcome Survey Activities of Daily Living Scale, range of motion, 36-item Short-form heath survey after the operation were all improved. According to the Bostman’s criteria, the excellent to good rate was 92.6%. Conclusion TNSMPC combined with cannulated compression screws is an effective fixation for C2 and C3 patella fracture with excellent clinical outcomes. In addition, the operation does not increase extra technique difficult or tissue damage relatively, which is worth promotion.

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“…Özellikle çok parçalı ya da kaynamama tedavisinde plak uygulanabilir. [9] Osteokondral parça bulunan kırıklarda başsız vida ile tespit yapılabilir.…”

Section: Tedavi̇ Patella Kırıklarında Tedavi Yöntemleri (Tablo 1)unclassified

Patella kırıklarında tedavi yaklaşımları ve patellektominin tedavideki yeri

Koçak¹,

Yıldırım²

2018

TOTBID

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Plating of Patella Fractures

Cited by 59 publications

References 19 publications

Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

Clinical outcomes of Ti-Ni shape-memory patella concentrator combined with cannulated compression screws in the treatment of C2 and C3 patella fracture: a retrospective study of 54 cases

Patella kırıklarında tedavi yaklaşımları ve patellektominin tedavideki yeri

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