Aim: To evaluate the clinical effect of the nitinol (NiTi)-patellar concentrator (NT-PC) for the treatment of comminuted patellar fractures.
Material And Methods: A total of 32 patients with acute comminuted patellar fracture accepted open reduction and internal fixation with the NT-PC, and the curative effects were evaluated using the Böstman clinical grading scale.
Results: All fractures were anatomically reduced by surgery and all cases were followed-up for six to 18 months. The mean score of patients according to the Böstman clinical grading scale was 25.6, with 29 of 32 (90.7%) patients achieving excellent or good results. Two patients had traumatic arthritis, one had slippage of the NT-PC, and all patients received pharmacotherapy.
Conclusions: The application of the NT-PC is a satisfactory approach to the treatment of comminuted patellar fractures.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.3109/13645706.2015.1134577 | DOI Listing |
Orthop Surg
January 2025
Department of Orthopedics Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Objective: Inferior pole patellar fractures (IPPFs) pose a significant challenge due to their complex fracture patterns and high risk of complications associated with current treatment methods. This study aims to (1) characterize the fracture patterns of IPPFs using fracture mapping and (2) compare the biomechanical stability and clinical outcomes of treatment with anchor suture with patellar cerclage versus Kirschner-wire tension band combined with patellar cerclage.
Methods: (1) A retrospective analysis was conducted on 61 patients with IPPF.
BMC Musculoskelet Disord
January 2025
Department of Orthopedic Surgery, The Second Hospital Affiliated to Shenyang Medical College, Shenyang City, Liaoning Province, China.
Objective: The treatment of comminuted inferior pole patellar fractures has long posed a challenge for orthopedic surgeons. This study aims to compare the biomechanical stability and clinical efficacy of Kirschner wire tension band combined with anchor cross-suture fixation versus traditional partial patellectomy in the treatment of comminuted inferior pole patellar fractures.
Methods: A retrospective analysis was conducted on 14 patients who underwent Kirschner wire tension band combined with anchor cross-suture fixation (Group A) in our department of orthopedics from September 2020 to April 2022.
J Orthop Case Rep
January 2025
Department of Orthopaedic Surgery, Dr. D Y Patil Hospital, Nerul, Navi Mumbai, Maharashtra, India.
Introduction: Post-operative complications related to hardware, particularly symptoms caused by it, such as implant impingement, wire breakage, and skin infection are frequently reported following surgical management of patellar fractures with stainless steel wires. As a potential solution, some researchers have advocated for the use of non-absorbable sutures for fracture fixation. This study aims to investigate the clinical and radiological outcomes of patients treated with fiber taping as an alternative technique.
View Article and Find Full Text PDFJ Surg Orthop Adv
December 2024
SUNY Upstate Medical University, Syracuse, New York.
Treatment of comminuted patella fractures is challenging. Augmentation of internal fixation has been proposed to improve stability. The authors describe an effective technique to augment internal fixation consisting of locked sutures within the quadriceps and patellar tendons.
View Article and Find Full Text PDFJ Knee Surg
November 2024
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
Literature on revision osteosynthesis for failed patella fracture fixation is extremely limited. This study reviews the treatment options and outcomes for revision and re-revision osteosynthesis at a Level 1 trauma center. All patella revision osteosynthesis cases between January 2021 and March 2024 were identified using Current Procedural Terminology codes at a single tertiary care academic center.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!