Treatment of transverse fractures of the patella by arthroscopic percutaneous pinning

Appel, Marc; Seigel, Harvey

doi:10.1016/s0749-8063(05)80357-3

Cited by 35 publications

(21 citation statements)

References 2 publications

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“…There are some studies describing other percutaneous fixation methods for treatment of patellar fracture with the assistance of fluoroscopy [1,16,17,20,22,25]. Reduction by indirect means is not difficult during surgery, but the time spent is more than with open reduction methods.…”

Section: Discussionmentioning

confidence: 99%

“…However, this approach is associated with delayed wound healing, postoperative adhesions, knee stiffness, and prolonged work disability [1,19]. Additionally, symptoms and complications related to use of K wires are common, including wire breakage and migration, with subsequent painful and prominent hardware in the knee, occasional loss of reduction, migration of fracture fragments, and soft tissue irritation [13,14,18,21,24].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Cable Pin System With Conventional Open Surgery for Transverse Patella Fractures

Mao

Liu

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background The cable pin system is an effective device for fixation of transverse patella fractures. However, whether this device provides superior results using a minimally invasive technique instead of conventional open surgery using the K wire tension band method is unclear. Questions/purposes We asked whether a minimally invasive technique would be associated with (1) increased operative time; (2) reduced postoperative pain; (3) faster recovery of ROM; (4) higher knee scores; and (5) reduced complications. Methods Forty patients with displaced transverse fractures of the patella participated in this prospective, randomized, controlled trial. Twenty of these patients underwent a minimally invasive technique and the others had conventional open surgery using K wires. Some data for six of the 20 patients who underwent the minimally invasive technique were published in an earlier prospective, observational trial. At postoperative intervals of 1, 3, 6, 12, and 24 months, pain was measured by VAS scores, active flexion and extension of the knee were measured in degrees by goniometry, and knee function was evaluated using the Böstman clinical grading scale. Results Operative time was longer in the minimally invasive surgery group (54.3 ± 9.8 minutes versus 48.5 ± 6

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Cable Pin System With Conventional Open Surgery for Transverse Patella Fractures

Mao

Liu

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…6 In 107 patients with patellar fractures undergoing percutaneous suture, Arthroscopic-assisted fixation has achieved excellent results in patients with minor displaced patellar fractures. [8][9][10][11] In a randomised controlled trial comparing percutaneous with open surgery in patients with major separation of patellar fragments (associated with disruption of the quadriceps mechanism), 12 percutaneous surgery required shorter operating time and achieved less pain and better knee function.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Tension Band Wiring for Patellar Fractures

Rathi

Swamy

Prasantha

et al. 2012

J Orthop Surg (Hong Kong)

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purpose. To evaluate outcome of percutaneous tension band wiring for transverse fractures of the patella. Methods. 16 men and 7 women aged 27 to 65 (mean, 40) years underwent percutaneous tension band wiring for transverse fractures of the patella with a displacement of >3 mm. Pain, operating time, mobility, functional score, and complications were evaluated. results. 20 patients underwent successful percutaneous tension band wiring. The remaining 3 patients in whom closed reduction failed underwent open reduction and tension band wiring. The mean operating time was 46 (range, 28-62) minutes. The mean follow-up period was 20 (range, 15-30) months. At the latest follow-up, all patients had regained full extension. The objective score was excellent in 20 patients and good in 3, whereas the subjective score was excellent in 17, good in 5, and fair in one. All patients had radiological union at week 8. One 2012;20(2):166-9 patient had patellofemoral arthritis (secondary to a postoperative articular step). Two patients developed superficial infections, which resolved after antibiotic therapy. Mean thigh muscle wasting was 0.7 (range, 0.4-1) cm. Three patients encountered hardware problems (impingement/irritation of the skin over the knee) necessitating implant removal. conclusion. Percutaneous tension band wiring is a viable option for transverse fractures of the patella. Journal of Orthopaedic Surgery

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“…The suture fixation minimizes the chance of a second surgery to remove symptomatic metallic hardware. The percutaneous technique avoids wide surgical incisions which can be associated with a higher probability of postoperative adhesions [16], prolonged disability for work, as well as a skin scar formation [17]. The percutaneous surgical technique preserves the vascular supply of patellar fragments, which may improve fracture consolidation.…”

Section: Discussionmentioning

confidence: 99%

“…The usual surgical intervention is carried out through an extensile skin incision with a substantial soft tissues dissection sufficient for fracture and joint-surface visualization. Wide surgical incisions are associated with a higher probability of postoperative adhesions [16] prolonged disability for work as well as a scarring [17]. The presence of lacerations or abrasions around the operative site may delay the surgery through a traditional midline incision [1].…”

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confidence: 99%

Percutaneous Tension-Band Suture Technique for Distal Patella Fracture Fixation

Simonian¹

2017

MOJOR

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Treatment of transverse fractures of the patella by arthroscopic percutaneous pinning

Cited by 35 publications

References 2 publications

Comparison of the Cable Pin System With Conventional Open Surgery for Transverse Patella Fractures

Comparison of the Cable Pin System With Conventional Open Surgery for Transverse Patella Fractures

Percutaneous Tension Band Wiring for Patellar Fractures

Percutaneous Tension-Band Suture Technique for Distal Patella Fracture Fixation

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