Frakturen der Kniescheibe

Wendl, K.; Zinser, R.; Hochstein, P.; Grützner, Paul Alfred

doi:10.1007/s10039-001-0533-3

Cited by 8 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, fixation failures may be a result of patient non-compliance instead of the TBW technique itself [ 43 , 46 ]. On the other hand, poor mid-term functional results have been witnessed following TBW [ 1 , 15 , 50 – 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…Fractures of the patella account for 0.5–1.5% of all fractures occurring in the human skeleton [ 1 ], with an increase in incidence of approximately 40% observed between the 1950s and 2011 [ 2 ]. Among the different types of patella fractures, the comminuted type AO/OTA 34-C3 is the most common, followed by simple transverse fractures type AO/OTA 34-C1 [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The injury mechanism in the majority of cases is a combination of direct trauma on the anterior patella surface with an indirect eccentric force exerted by contracted quadriceps muscle [ 4 ]. Displaced simple or comminuted patella fracture fragments associated with a disrupted extensor mechanism qualify for surgical treatment [ 1 ]. Thereby, anatomic reduction with reestablishment and perseverance of a smooth articular surface is given high importance to prevent posttraumatic osteoarthritis [ 5 , 6 ], the latter being prone to develop due to high patellofemoral joint forces [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterior variable-angle locked plating versus tension band wiring of simple and complex patella fractures – a biomechanical investigation

Stoffel

Pastor

Woodburn³

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The aim of this study was to investigate the biomechanical performance of novel anterior variable-angle locking plates versus tension band wiring used for fixation of simple and complex patella fractures. Methods Sixteen pairs of human cadaveric knees were used to simulate two-part simple transverse AO/OTA 34-C1 and five-part complex AO/OTA 34-C3 patella fractures. The complex fracture pattern was characterized with a medial and a lateral proximal fragment, together with an inferomedial, an inferolateral and an inferior fragment mimicking comminution around the distal patella pole. Eight pairs with simple fractures were split for fixation via either tension band wiring (TBW) through two parallel cannulated screws or anterior variable-angle locked plating, whereas other eight pairs with complex fractures were split for either TBW through two parallel cannulated screws plus circumferential cerclage wiring, or anterior variable-angle locked plating using a cortical caudo-cranial polar screw. Each specimen was tested over 5000 cycles with a range of motion from 90° flexion to full extension by pulling on the quadriceps tendon. Interfragmentary movements were captured by motion tracking. Results For both fracture types, the longitudinal and shear articular displacements, measured between the proximal and distal fragments at the central patella aspect between 1000 and 5000 cycles, together with the relative rotations of these fragments around the mediolateral axis were all significantly smaller following anterior variable-angle locked plating versus TBW, p ≤ 0.01. Conclusions From a biomechanical perspective, anterior locked plating of both simple and complex patella fractures resulted in less interfragmentary displacement under extended cyclic loading.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior variable-angle locked plating versus tension band wiring of simple and complex patella fractures – a biomechanical investigation

Stoffel

Pastor

Woodburn³

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Numerous biomechanical studies have assessed fixation using tension band wire (TBW) in this fracture pattern, and TBW is widely regarded as the gold standard for this 'simple' fracture pattern (see Figure 1) [5,[43][44][45][46][47]. The biomechanical principle behind TBW is the transformation of tensile forces on the anterior patella surface into compressive forces at the articular surface, achieving dynamic interfragmentary compression [49]. In the traditional TBW (tension band wiring) technique, two K wires are proximally bent in a parallel fashion, and a figure-of-eight cerclage wire is then wrapped around them for stabilization [37].…”

Section: Tension Band Wirementioning

confidence: 99%

“…The surgeon can then choose to add wires in a figure-of-eight configuration through the screws [54][55][56]. The biomechanical principle behind TBW is the transformation of tensile forces on the anterior patella surface into compressive forces at the articular surface, achieving dynamic interfragmentary compression [49]. In the traditional TBW (tension band wiring) technique, two K wires are proximally bent in a parallel fashion, and a figure-of-eight cerclage wire is then wrapped around them for stabilization [37].…”

Section: Cannulated Screwsmentioning

confidence: 99%

Evolution in the Management of Patella Fractures

Baid,

Narula,

Manara

et al. 2024

JCM

View full text Add to dashboard Cite

Patella fractures usually occur as a result of direct trauma to the anterior knee joint, indirect injury as a result of eccentric muscle contraction, or rapid knee flexion against a contracted quadriceps muscle. The patella functions as part of the extensor mechanism of the knee, where large forces are transmitted, and its subcutaneous nature has made treatment of patella fractures a challenge. In this review article, we evaluate how the management of these fractures has evolved over time and the advantages associated with the various treatment techniques. There are few comparative studies looking at the different treatment types for fractures of the patella, with the goal of achieving a functional extensor mechanism with low rates of post-traumatic arthritis and metal-work irritation.

show abstract

Patella

Müller‐Mai

Mielke

2010

Frakturen

View full text Add to dashboard Cite

Frakturen der Kniescheibe

Cited by 8 publications

References 16 publications

Anterior variable-angle locked plating versus tension band wiring of simple and complex patella fractures – a biomechanical investigation

Anterior variable-angle locked plating versus tension band wiring of simple and complex patella fractures – a biomechanical investigation

Evolution in the Management of Patella Fractures

Patella

Contact Info

Product

Resources

About