A novel three-dimensional strapping reduction for the treatment of patellar fractures

Jiang, Wei; Li, Yusheng; Kotian, Ronak Naveenchandra; Lin, Bin; Zhang, Xiaoming

doi:10.1186/s13018-019-1294-7

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…The average of their measurements was then used for the final analysis. The percentage of HSS knee scores on the injured side relative to the uninjured side at 6-month postoperative review ≥ 80% was used as an indicator of good functional prognosis [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, development of accurate predictive models and early individualized interventions may be effective in improving patients' functional outcomes. Previous studies have reported that the Hospital for Special Surgery knee score (HSS) is an effective and reliable instrument for evaluating the functional prognosis of patella fractures [13][14][15]. The main objective of this study was to develop a predictive model of poor functional prognosis after patellar fracture in the elderly based on HSS scores, with the overarching goal of exploring the risk factors associated with functional prognosis.…”

Section: Introductionmentioning

confidence: 99%

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A Prediction Modeling Based on the Hospital for Special Surgery (HSS) Knee Score for Poor Postoperative Functional Prognosis of Elderly Patients with Patellar Fractures

Ying

Guo

Wang

et al. 2021

BioMed Research International

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Background. The main aim of this study was to develop a nomogram prediction model for poor functional prognosis after patellar fracture surgery in the elderly based on the hospital for special surgery (HSS) knee score. Methods. A retrospective analysis of 168 elderly patients with patellar fractures was performed to collect demographic data, knee imaging, and functional prognosis preoperatively and during the 6-month postoperative follow-up period. Good functional prognosis of knee joint was defined as the percentage of HSS knee scores on the injured side relative to the uninjured side ≥ 80 % at six-month postoperative review. Multifactorial linear regression analysis and logistic regression analysis were then used to identify risk factors of functional prognosis and develop the nomogram prediction model. Furthermore, the validity and accuracy of the prediction model were evaluated using C-index, area under the curve (AUC), and decision curve analyses. Results. The final screening from the 12 potential risk factors yielded three high-risk factors which were included in the nomogram prediction model: advanced age (OR 0.28 (95% CI 0.11-0.67), P = 0.005 ), sarcopenia (OR 0.11 (95% CI 0.05-0.26), P < 0.001 ), and low albumin level (OR 1.14 (95% CI 1.02-1.29), P = 0.025 ). The model had a good predictive ability with an AUC of 0.857 (95% CI (0.783-0.929)) for the training group and a C-index of 0.836 for the overall sample. In addition, the decision analysis curve indicated that the model had good clinical applicability. Conclusion. Our predictive model is effective in predicting the risk of poor functional prognosis after patellar fracture surgery in the elderly by assessing high-risk factors such as advanced age, sarcopenia, and serum albumin levels. This prediction model can help clinicians to make individualized risk prediction, early identification of patients at high risk for poor functional outcome, and appropriate interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Prediction Modeling Based on the Hospital for Special Surgery (HSS) Knee Score for Poor Postoperative Functional Prognosis of Elderly Patients with Patellar Fractures

Ying

Guo

Wang

et al. 2021

BioMed Research International

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“…However, the limitations of the tension band technique are becoming increasingly apparent. In addition to the usual surgical complications such as infection, nonunion and delayed healing of the fracture, the skin is irritated due to the super cial nature of the patellar and the protrusion of the wire used to loop the patellar as well as the end of the Kirschner needle 1,7,8 . And the tension band is not strong enough to support the patient's early functional exercise, causing complications such as stiffness and pain in the knee joint.…”

Section: Introductionmentioning

confidence: 99%

A modified wire tension band technique for treatment of comminuted displaced patellar fractures

Han

Wang³

et al. 2023

Preprint

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Purpose: Wire tension band technique, as a widely accepted strategy for the treatment of patellar fractures, is undergoing constant improvement. This study aims to assess the clinical effect of a modified wire tension band technique for treatment of comminuted displaced patellar fractures. Methods: From January 2015 to December 2021, 97 adult patients (52 males and 45 females) with comminuted displaced patellar fractures were treated with wire tension band technique in our department. The age ranged from 18 to 68 years old with an average of 39 years old. All patients had single closed comminuted displaced patellar fractures and all were treated with open reduction internal fixation. There were 58 patients in the modified wire tension band group (The MW group) and 39 patients included in the Kirschner wire tension band group (The KW group). Operating time, intraoperative bleeding, length of hospital stay, postoperative follow-up, fracture healing time, and knee motion and function scores were recorded and compared between the two groups. The incidence of postoperative complications such as non-union of the fracture, infection, failure of the internal fixation, re-fracture, and broken of the internal fixation were recorded and evaluated. Operative time, intraoperative blood loss, post-operative clinical outcomes and radiographic results were recorded and analyzed. VAS (Preoperative and last follow-up scores in the Visual Analogue Scale) and Böstman scale were recorded and evaluated. Results: There were no significant differences in basic information such as age, gender, BMI, mechanism of injury, history of smoking and alcohol, injured limb and follow-up time in the MW group compared to the KW group. Intraoperative time (49.91±3.88, min ) in the MW group was significantly lower than intraoperative time (67.64±4.27, min) in the KW group and the difference was statistically significant (P＜0.05). In the MW group (102.59±10.01, ml), intraoperative blood loss was significantly lower than in the KW group (126.41±13.86, ml), and the difference between the two groups was statistically significant(P＜0.05). The intraoperative time of fluoroscopy in the MW group was (8.14±1.82, s), which was lower than the intraoperative time of fluoroscopy in the KW group (10.41±1.67, s), and the difference between the two groups was statistically significant(P＜0.05). The hospital days were also significantly shorter in the MW group (6.07±1.23, d) than in the KW group (6.79±1.42, d). The difference was statistically significant(P＜0.05). There was no significant difference between the two groups in terms of fracture healing time, mobility, VAS score and Böstman score after surgery. There were no complications such as infection or non-healing fractures. However, there were 2 cases of wire fracture complications in both the MW and KW groups when the internal fixation was removed. Conclusion: The modified wire tension band technique for fixation of patellar fractures is an effective new technique for the safe and reliable management of patellar fractures and offers an alternative strategy for the treatment of patellar fractures.

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Interventions for treating fractures of the patella in adults

Filho

Lenza

Tamaoki

et al. 2021

Cochrane Database of Systematic Reviews

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A novel three-dimensional strapping reduction for the treatment of patellar fractures

Cited by 4 publications

References 30 publications

A Prediction Modeling Based on the Hospital for Special Surgery (HSS) Knee Score for Poor Postoperative Functional Prognosis of Elderly Patients with Patellar Fractures

A Prediction Modeling Based on the Hospital for Special Surgery (HSS) Knee Score for Poor Postoperative Functional Prognosis of Elderly Patients with Patellar Fractures

A modified wire tension band technique for treatment of comminuted displaced patellar fractures

Interventions for treating fractures of the patella in adults

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