Patellar Fracture Fixation Using Suture Tape Cerclage

Monaco, Edoardo; Bruni, Giorgio; Daggett, Matthew; Saithna, Adnan; Cardarelli, Silvia; Proietti, Lidia; Ferretti, Andrea

doi:10.1016/j.eats.2020.02.010

Cited by 12 publications

(11 citation statements)

References 13 publications

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“…Furthermore, in cases of severely comminuted fractures, anatomical reduction may be difficult, and an increased possibility of displacement and loosening associated with osteoporosis limits the use of tension band wiring [2]. There have been several previously published studies demonstrating fixation using high-resistance suture materials, but there was a lack of studies comparing such methods with the conventional fixation methods using metal implants [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Open reduction and internal fixation using multiple nonabsorbable suture materials in acute patella fracture: comparison of clinical and radiological outcome with tension band wiring

Lee

Beom

Yang³

et al. 2021

Knee Surg & Relat Res

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Background For treating displaced patella fractures, tension band wiring is the most widely used technique. However, implant removal surgery is often necessary to alleviate discomfort caused by fixation materials. On the contrary, fixation using nonabsorbable suture materials is anticipated to result in comparable outcomes without need for further implant removal surgery. However, there is a lack of clinical studies comparing the two fixation techniques (wire and nonabsorbable suture materials) for acute patella fractures. Methods From 2014 to 2018, we retrospectively reviewed 60 patients who underwent open reduction with internal fixation for acute patella fracture. Thirty patients (group 1) who received surgery using tension band wiring and 30 patients (group 2) who received surgery using nonabsorbable suture materials were enrolled. The average follow-up period was more than 1 year after operation. Operation time, postoperative bone union time, range of motion (ROM) of the knee joint, postoperative clinical results, and complications were compared between the two groups. Result Operation time, clinical bone union, and radiologic bone union were not statistically different between groups 1 and 2. At 3 months postoperatively, flexion was 120.3 ± 9.4° in group 1 and 110.5 ± 7.7° in group 2, showing statistically significant difference (p = 0.037). At 6 and 12 months postoperatively, the ROM was similar in both groups. Hospital for special surgery score at 3 months postoperatively was 78.4 ± 8.2 in group 1 and 83.7 ± 8.7 in group 2, showing statistically significant differences (p = 0.032). However, at 6 and 12 months postoperatively, there were no statistical differences. Lysholm score at 3 months postoperatively was 73.5 ± 8.1 in group 1 and 80.4 ± 8.2 in group 2, showing statistically significant difference (p = 0.016), but at 6 and 12 months postoperatively, there were no statistical differences. Conclusion Fixation using multiple nonabsorbable suture materials can be an alternative surgical method in managing patella fractures, along with tension band wiring.

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Section: Introductionmentioning

confidence: 99%

Open reduction and internal fixation using multiple nonabsorbable suture materials in acute patella fracture: comparison of clinical and radiological outcome with tension band wiring

Lee

Beom

Yang³

et al. 2021

Knee Surg & Relat Res

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“… 20 , 23 Correct tensioning and knot tightening thus may reduce the risk of subsequent fixation failure and poor outcomes. The FiberTape Cerclage System has been previously described in patella fracture fixation as part of a circumferential cerclage construct 22 ; however, use of this system has not been described as a technique to provide an anterior tension band while passing through cannulated screws.…”

Section: Discussionmentioning

confidence: 99%

“…11,20 In addition, the FiberTape Cerclage System uses a pretied racking hitch knot and the accompanying tensioning system, allowing for precise and reproducible tensioning. 22 In comparison, technical errors during hand tying of suture can result in loose knots or knot slippage, which would compromise tension band function. 20,23 Correct tensioning and knot tightening thus may reduce the risk of subsequent fixation failure and poor outcomes.…”

Section: Fibertape Cerclage For Patellar Fracturementioning

confidence: 99%

Patellar Fracture Fixation With Cannulated Compression Screws and FiberTape Cerclage

Posner

Hutchinson

Zimmerman

2021

Arthroscopy Techniques

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Transverse patella fractures with loss of knee extensor mechanism function are a common orthopaedic injury requiring operative fixation. Current accepted surgical options for noncomminuted transverse fractures include open reduction with tension band wiring. Although these procedures result in good clinical outcomes and fracture healing, symptomatic hardware from the historically used metal implants is very common. The purpose of this Technical Note is to describe a technique for treatment of transverse patellar fractures using cannulated compression screws with tensioned high-resistance suture tape functioning as the tension band. This technique provides effective, reproducible fracture fixation while minimizing symptomatic hardware, failure, and reoperation.

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“…Aiming to restore the above mentioned ligamental stability, minimally invasive tape suture systems, such as the SpeedBridge™ by Arthrex ® (Naples, FL, USA), have displayed promising results regarding biomechanical stability and are already routinely used for the surgical treatment of the syndesmosis of the ankle or ligamental injuries of the knee or shoulder (13)(14)(15). These minimally invasive implants aim to reinforce ligamental structures while maintaining micro mobility of the affected joint, ultimately combining the possibility of ligamental healing and the prevention of an unphysiological arthrodesis (14).…”

Section: Novel Tape Suture Osteosynthesis For Hyperextension Injuries...mentioning

confidence: 99%

Novel Tape Suture Osteosynthesis for Hyperextension Injuries of the Subaxial Cervical Spine: A Biomechanical Study

Becker¹,

Kühlein²,

Walter³

et al. 2023

In Vivo

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Background/Aim: Anterior tension band injuries are usually the result of high impact hyperextension trauma. Current surgical treatment includes anterior cervical discectomy and fusion bearing the risk of soft tissue irritation, degeneration of adjacent cervical segments, implant failure or iatrogenic spondylodesis. This study examined the biomechanical properties of tape suture constructs reenforcing ligamental stability for the treatment of Association of Osteosynthesis (AO) type B3 injuries compared to anterior fusion. Materials and Methods: After creation of an AO type B3 injury in synthetic cervical segments (C5/6, Sawbone ® ), seven segments were treated with anterior fusion and seven with a tape suture construct, similar to the SpeedBridge™ (Arthrex ® ). Biomechanical testing was performed, simulating extension, flexion, lateral bending, and rotation. Dislocation (˚) and corresponding force (N) were measured and compared. Results: Anterior fusion displayed a mean range of extension, lateral bending, and rotation of 3.60˚(SD 1.87˚), 2.28˚(SD 1.55˚), and 2.81˚(SD 0.78˚), respectively. The tape suture showed a mean range of extension, lateral bending, and rotation of 4.24˚(SD 0.81˚) (p=0.146), 5.44˚(SD 1.56˚) (p=0.013), and 5.29˚(SD 1.44˚) (p<0.01), respectively. No specimen suffered from implant failure. Conclusion: The tape suture construct provides sufficient biomechanical stability for the treatment of AO type B3 injuries compared to anterior fusion. Regarding cervical extension, whose limitation is crucial for ligamental healing, the tape suture shows no significant inferiority. Yet, the tape suture approaches physiological mobility in the planes not affected by the injury. Consequently, the tape suture is a promising alternative preventing an iatrogenic spondylodesis.

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Patellar Fracture Fixation Using Suture Tape Cerclage

Cited by 12 publications

References 13 publications

Open reduction and internal fixation using multiple nonabsorbable suture materials in acute patella fracture: comparison of clinical and radiological outcome with tension band wiring

Open reduction and internal fixation using multiple nonabsorbable suture materials in acute patella fracture: comparison of clinical and radiological outcome with tension band wiring

Patellar Fracture Fixation With Cannulated Compression Screws and FiberTape Cerclage

Novel Tape Suture Osteosynthesis for Hyperextension Injuries of the Subaxial Cervical Spine: A Biomechanical Study

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