Altered long-term health-related quality of life in patients following patella fractures: a long-term follow-up study of 49 patients

Vedel, Julie Odgaard; Vistrup, Sabina; Larsen, Peter; Elsøe, Rasmus

doi:10.1007/s00068-017-0857-8

Cited by 15 publications

(14 citation statements)

References 33 publications

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“…3,[9][10][11] Results of surgery are frequently unsatisfactory. [12][13][14][15][16][17] Patients undergoing osteosynthesis often reported lingering and/or long-term dysfunction. [12][13][14][15][16][17] The overall rate of complication with this surgery has been reported to be as high as 48.7%.…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14][15][16][17] Patients undergoing osteosynthesis often reported lingering and/or long-term dysfunction. [12][13][14][15][16][17] The overall rate of complication with this surgery has been reported to be as high as 48.7%. 14 In a prospective review of 113 cases, despite confirmed clinical healing, only 27.7% of the patients reported being pain free, 21.7% reported no limitation in physical activities and 19.3% reported normal activities of daily living after a follow-up period of six years.…”

Section: Introductionmentioning

confidence: 99%

“…12,13,14,18,19 Anterior knee pain (80.0%), 13 patella baja (56.7%), 13 range of motion (ROM) deficits in flexion (37.5%) and/or extension (15.0%), 12 and decreased extensor strength [12][13][14]16 are also common concomitant conditions following surgery. [12][13][14]16 Despite aggressive physical therapy, the patients demonstrated strength deficits (41%), power deficits (47%), and endurance deficits (34%) in knee extension at 12 months of follow-up. 13 Combining these findings, unsurprisingly, these patients reported significantly lower health-related quality of life compared to the age-matched control population, even up to eight and a half years following surgery.…”

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confidence: 99%

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“…4 Despite the commonality, little information exists about the longterm consequences following a patella fracture. 3,[5][6][7][8][9][10][11][12] Recent literature suggests that 50 percent of patients with patella fractures continue to experience symptoms affecting their function during activities of daily living and quality of life (QOL). 5,9,13 Traumatic knee injuries that involve the tibia may increase the risk of posttraumatic knee osteoarthritis (OA).…”

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“…3,[5][6][7][8][9][10][11][12] Recent literature suggests that 50 percent of patients with patella fractures continue to experience symptoms affecting their function during activities of daily living and quality of life (QOL). 5,9,13 Traumatic knee injuries that involve the tibia may increase the risk of posttraumatic knee osteoarthritis (OA). 10,14,15 The injury mechanisms underpinning the development of OA may be related to the forces applied to the chondral surfaces at the time of injury, fracture comminution, and mode of injury.…”

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Patellar fractures are associated with an increased risk of total knee arthroplasty

Larsen

Rathleff

Østgaard

et al. 2018

The Bone & Joint Journal

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Aims The aim of this study was to investigate the incidence of knee arthroplasty and arthroscopy following patellar fractures, and to compare this with an age- and gender-matched group without a prior patellar fracture. Patients and Methods A national matched cohort study based on the Danish National Patient Register including all citizens of Denmark (approximately 5.3 million) was undertaken. A total of 6096 patients who sustained a patellar fracture in Denmark between 1 January 1996 and 31 December 2000 were included. The median age of these patients was 50.6 years (interquartile range (IQR) 28.5 to 68.9); 49.1% were women. Patients were followed-up until 31 December 2015, with regard to treatment with knee arthroplasty and/or knee arthroscopy. Results Patients with a patellar fracture had an increased risk of knee arthroplasty (hazard ratio (HR) 1.83, 95% confidence interval (CI) 1.57 to 2.13) compared with citizens without a patellar fracture, and the effect was strongest during the first five years (HR 3.02, 95% CI 2.26 to 4.03). Patients with a patellar fracture also had a higher risk of knee arthroscopy (HR 3.94, 95% CI 3.49 to 4.46), and the effect was highest during the first five years after the fracture (HR 7.40, 95% CI 6.32 to 8.66). Conclusion Patellar fractures are associated with an increased risk of knee arthroplasty and knee arthroscopy. The consequences of a patellar fracture may be more severe than previously considered, and patients must expect a lifelong increased risk of knee arthroplasty. Cite this article: Bone Joint J 2018;100-B:1477–81.

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Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register

Kruse

Wolf

Mukka

et al. 2022

Eur J Trauma Emerg Surg

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Background Basic epidemiological data on patella fractures derived from large nationwide and multicenter studies are scarce. This observational register study describes patient epidemiology, fracture classification and treatment of patella fractures in adults in a Swedish population. Methods We conducted an observational study on data derived from the Swedish Fracture Register (SFR) on all patella fractures classified as non-periprosthetic and non-pathological, registered between 2014 and 2018 in individuals aged ≥ 18years. Epidemiological data on sex, age, side, seasonal variation, trauma mechanism, fracture classification (according to AO/OTA), and treatment were analyzed. Results 3194 patella fractures were analyzed, occurring at a median age of 67 (range 19–100) years. 64% of all patients were female. Most fractures were caused by low-energy trauma, with 70% due to falling from a standing height. 1796 (56%) of the fractures were transverse compared to 845 (26%) vertical fractures. Most fractures (N=2148, 67%) were treated non-operatively. Operative treatment consisted mainly of Tension Band Wiring (TBW) performed in 774 (24%) patients. Conclusions Patella fractures mainly occur in elderly women (> 65 years), commonly caused by low-energy trauma. The main treatment is non-operative (67%), except for transverse (AO/OTA C3) fractures. TBW remains the most used operative treatment of choice. These results may help health care providers, researchers and clinicians better understand the panorama of patella fractures in Sweden.

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Altered long-term health-related quality of life in patients following patella fractures: a long-term follow-up study of 49 patients

Cited by 15 publications

References 33 publications

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Patellar fractures are associated with an increased risk of total knee arthroplasty

Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register

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