Minimally invasive osteosynthesis technique in the treatment of transverse patellar fractures in the elderly

Vicenti, Giovanni; Bizzoca, Davide; Nappi, Vittorio; Carrozzo, M; Miolla, Maria Paola; Ottaviani, Guglielmo; Solarino, Giuseppe; Moretti, Biagio

doi:10.1016/j.injury.2020.01.012

Cited by 7 publications

(11 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study sample sizes ranged from 38 to 60, with a total of 304. One study [ 10 ] involved patients aged > 60 years; one study [ 26 ] specifically limited their targeted population to the 18–65-year age group. These studies were slightly different from the other studies that had participants aged > 16 [ 24 ] or 18 years in general [ 25 , 27 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of them allowed passive range of motion and partial weight-bearing within 3 days postoperation. An articular knee brace was used in one trial [ 10 ], whereas the others had no external immobilizers at all times. One study [ 24 ] executed a relatively consistent rehabilitation plan instead of progressive mobilization training.…”

Section: Resultsmentioning

confidence: 99%

“…The heterogeneity of results in both groups decreased when SMDs were pooled for estimation. Sensitivity analysis was performed after excluding data from the study by Vicenti et al [ 10 ], the only nonrandomized study with this parameter. Nevertheless, an even higher level of heterogeneity appeared at 1 month ( I 2 = 83%), whereas no heterogeneity was observed at 12 months ( I 2 = 0%) (Additional file 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…This surgical approach, however, has numerous disadvantages, which may disrupt its clinical outcome. These include the requirement for a long incision for direct visualization, causing substantial soft tissue compromise at the fracture site, potential devascularization of individual bone fragments, lengthened rehabilitation period, and heavy blood loss in relation to the dissection [5][6][7][8][9][10]. Complications, such as infection, delayed wound healing, irritation, or wire breakage, have been frequently reported in studies [11][12][13], with the incidence rate of symptomatic hardware being as high as 60% [3,14].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of minimally invasive percutaneous fixation and open reduction internal fixation for patella fractures: a meta-analysis

Chen

2021

J Orthop Surg Res

View full text Add to dashboard Cite

Background Open reduction internal fixation (ORIF) has long been the conventional procedure for managing displaced patella fracture. This surgical approach has certain drawbacks, which might affect clinical outcomes and patient prognosis. Minimally invasive percutaneous fixation (MIPF) was proposed to overcome these disadvantages. Few in-depth investigations have been performed to determine the superiority of MIPF over ORIF. The aim of this study was to compare the efficacies of MIPF and ORIF for patella fractures. Methods The PubMed, Cochrane Library, Embase, and Scopus databases were searched for relevant studies from November 26 to December 17, 2020. Non-English publications and pediatric orthopedic articles were excluded. Statistical analysis was performed using Review Manager, version 5.4, with mean differences (MDs), standardized mean differences (SMDs), odds ratios (ORs), and respective 95% confidence intervals (CIs) calculated using a random effects model. The primary outcomes were the pain score, knee range of motion, and joint functionality. The secondary outcomes were the surgical time, complications, and implant removal rate. Results Six articles with a total of 304 patients were included in the meta-analysis. Pooled analysis revealed that patients with MIPF had a significantly reduced pain score (MD = − 1.30, 95% CI = − 1.77 to −0.82; p < 0.00001) and increased knee extension angles (MD = 0.72, 95% CI = 0.18 to 1.25; p = 0.009) at 3-month follow-up. Furthermore, knee flexion angles (MD = 8.96, 95% CI = 5.81 to 12.1; p < 0.00001) and joint functionality (SMD = 0.54, 95% CI = 0.21 to 0.86; p = 0.001) had statistically improved at 2 years. However, no difference was observed between MIPF and ORIF with regard to the surgical time. The risk of complications (OR = 0.10, 95% CI = 0.05 to 0.18; p < 0.00001) and implant removal rate (OR = 0.20, 95% CI = 0.07 to 0.57; p = 0.003) were significantly lower with MIPF than with ORIF. Conclusions MIPF is more favorable than ORIF in terms of the pain score, knee range of motion, joint functionality, complications, and implant removal rate. Thus, it can be adopted as an alternative to ORIF.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of minimally invasive percutaneous fixation and open reduction internal fixation for patella fractures: a meta-analysis

Chen

2021

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…The group consisted of 45 patients with polyethylene wear debris induced osteolysis and 2 hips with corrosion of modular head-neck junction. The mean BMI (Body Mass Index) was 26.7 ± 3.1 (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37).…”

Section: Patientsmentioning

confidence: 99%

Is Procalcitonin (PCT) a reliable biomarker for preoperative diagnosing of low grade Periprosthetic Joint Infection? A Prospective Study

Busch

Jäger²,

Engler

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Since a „gold-standard“ is missing, diagnosing periprosthetic joint infection (PJI) remains a challenge in orthopedic surgery. The purpose of this study was to evaluate the accuracy of serum and synovial fluid Procalcitonin (S-PCT and SF-PCT) as a diagnostic parameter and to compare it to the biomarkers recommended in the 2018 Definition of periprosthetic hip and knee infection. Methods: Between August 2018 and July 2019, a prospective cohort study was conducted in 70 patients with painful hip, shoulder and knee arthroplasty. Besides medical history, clinical and laboratory data was gathered. PJI was diagnosed based on the 2018 Definition of periprosthetic hip and knee infection. Preoperative blood and synovial joint fluid were taken for PCT measurement. S-PCT and SF-PCT levels were measured using standard quantitative PCT enzyme immunoassays. Results: Twenty three patients (33%) were classified as the PJI group and fourty seven patient (67%) as the aseptic group. The mean levels of S-PCT were significantly (p<0.001) higher in the PJI group than those in the aseptic group (PJI 0.05 ng/mL ± 0.21 (0.0-1.03) vs. aseptic 0.02 ng/mL ± 0.03 (0.0-0.18)). In synovial fluid, the mean PCT values in the aseptic group were significantly higher (p<0.001) than those of PJI group (PJI 2.7 ng/mL ± 1.4 (0.53-9.7) vs. aseptic 8.7 ng/mL ± 2.5 (0.25-87.9)). S- PCT, with a cut-off level of 0.5 ng/mL, had a sensitivity of 13.0% and a specificity of 91.0%. SF-PCT, with a cut-off level of 5.0 ng/mL, had a sensitivity of 13.0% and a specificity of 52.0%. Conclusion: S-PCT and SF-PCT appeared to be no reliable biomarkers in the differential diagnosis of PJI from aseptic loosening in total joint arthroplasty.

show abstract

Comparison of a minimally invasive osteosynthesis technique with conventional open surgery for transverse patellar fractures

Yao¹,

Mao²,

Dong³

et al. 2023

Chinese Journal of Traumatology

View full text Add to dashboard Cite

Minimally invasive osteosynthesis technique in the treatment of transverse patellar fractures in the elderly

Cited by 7 publications

References 25 publications

Comparison of minimally invasive percutaneous fixation and open reduction internal fixation for patella fractures: a meta-analysis

Comparison of minimally invasive percutaneous fixation and open reduction internal fixation for patella fractures: a meta-analysis

Is Procalcitonin (PCT) a reliable biomarker for preoperative diagnosing of low grade Periprosthetic Joint Infection? A Prospective Study

Comparison of a minimally invasive osteosynthesis technique with conventional open surgery for transverse patellar fractures

Contact Info

Product

Resources

About