The modified anterior ellipsoidal cap titanium cable tension band for comminuted patellar fractures

Wang, Fasheng; Luo, T. David; Chen, Chunyong; Xie, Yun; Yang, Lin; Zeng, Da; Lin, Jianhua; Ye, Junjian

doi:10.1177/2309499019874018

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Full knee exion/extension was achieved in SR group except 2 cases with limited knee exion. Clinical results were comparative with the results obtained by other scholars [5,7,8,[21][22][23] . In those studies, the majority of patients achieved union with full ROM.…”

Section: Discussionmentioning

confidence: 84%

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

Huang

Zou

Yin

et al. 2023

Preprint

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Objectives Surgical mangement of comminuted patella fractures remains a major challenge for the surgeon. We developed a suture reduction (SR) technique to better preserve the comminuted patella. The study aimed to compare the suture reduction technique with conventional reduction (CR) technique in the management of comminuted patellar fractures using the modified Kirschner-wire (K-wire) tension band. Methods From May 2016 to September 2020, a total of 75 patients with comminuted patellar fracture were reviewed retrospectively. Among these cases, 35 patients were in the suture reduction group with a mean age of 52 years, while 40 patients were in the conventional reduction group with a mean age of 53 years. All cases were closed fractures. Comminuted patellar fractures were classified as type 34-C3 according to the AO/OTA classification. Radiographs of the knee were obtained at routine follow-up to evaluate the reduction quality and fracture union. Clinical outcomes including range of motion (ROM), visual analog scale (VAS), Lysholm, and Böstman grading scales were measured at the last follow-up. Postoperative complications were also recorded. Results The average time from injury to surgery was 5.4 days in suture reduction group and 3.7 days in conventional reduction group (p< 0.05). The surgical time of suture reduction group was less than that of conventional reduction group, but there was no significant difference (p= 0.110) regarding surgical time between the two groups. The average blood loss in suture reduction group was 42.9 ml, while the average blood loss in conventional reduction group was 69.3 ml (p< 0.001). There was no difference regarding fracture union, ROM and knee function score (Lysholm score and Böstman scale) between the two groups. The complication rates were 17.1% in suture reduction group and 12.5% in conventional reduction group respectively (p> 0.05). Conclusions In the treatment of comminuted patellar fractures with modified K-wire tension band, the use of suture reduction technique can shorten the surgical time, reduce the surgical trauma, and obtain satisfactory results. This new surgical technique may be particularly effective in management of comminuted patellar fractures when patellectomy would otherwise be considered.

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Section: Discussionmentioning

confidence: 84%

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

Huang

Zou

Yin

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…We compared the results of this study with the results obtained by other scholars [ 8 , 10 , 11 , 21 – 23 ]. In those studies, the majority of patients achieved union with full ROM.…”

Section: Discussionmentioning

confidence: 92%

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

Huang,

Zou,

Kenmegne

et al. 2023

BMC Surg

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Objectives Surgical management of comminuted patella fractures remains a major challenge for the surgeon. We developed a suture reduction (SR) technique to better preserve the comminuted patella. The study aimed to compare the suture reduction technique with conventional reduction (CR) technique in the management of comminuted patellar fractures using the modified Kirschner-wire (K-wire) tension band. Methods From May 2016 to September 2020, a total of 75 patients with comminuted patellar fracture were reviewed retrospectively. Among these cases, 35 patients were in the suture reduction group with a mean age of 52 years, while 40 patients were in the conventional reduction group with a mean age of 53 years. All cases were closed fractures. Comminuted patellar fractures were classified as type 34-C3 according to the AO/OTA classification. Radiographs of the knee were obtained at routine follow-up to evaluate the reduction quality and fracture union. Clinical outcomes including range of motion (ROM), visual analog scale (VAS), Lysholm, and Böstman grading scales were measured at the last follow-up. Postoperative complications were also recorded. Results The average time from injury to surgery was 5.4 days in suture reduction group and 3.7 days in conventional reduction group (p < 0.05). The surgical time of suture reduction group was less than that of conventional reduction group, but there was no significant difference (p = 0.110) regarding surgical time between the two groups. The average blood loss in suture reduction group was 42.9 ml, while the average blood loss in conventional reduction group was 69.3 ml (p < 0.001). There was no difference regarding fracture union, ROM and knee function score (Lysholm score and Böstman scale) between the two groups. The complication rates were 17.1% in suture reduction group and 12.5% in conventional reduction group respectively (p > 0.05). Conclusions In the treatment of comminuted patellar fractures with modified K-wire tension band, the use of suture reduction technique can shorten the surgical time, reduce the surgical trauma, and obtain satisfactory results. This new surgical technique may be particularly effective in management of comminuted patellar fractures when patellectomy would otherwise be considered.

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A double-suture cerclage reduction technique with Nice knots for comminuted patella fractures (AO/OTA 34-C3)

et al. 2023

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Background Comminuted patella fractures place high demands on surgeons’ surgical skills. We used a double-suture cerclage reduction with Nice knots as an intra-operative reduction technique to displaced comminuted patella fractures. Methods Patients were divided into two groups by whether or not an intra-operative suture cerclage reduction technique was used. Fragments count, surgical time, quality of the reduction, and fracture healing time were recorded. The postoperative function was assessed by Böstman score and range of motion. Results With the inclusion and exclusion criteria, 48 patients we included in the cohort between Sept. 2016 and Oct. 2021. The double-suture cerclage reduction technique with a Nice knot achieved a satisfactory reduction. When the number of fragments was over 5, this technique showed significant advantages in saving surgery time. Conclusions In this study, the double-suture cerclage reduction technique combined with the Nice knot shows significant advantages for displaced highly comminuted patella fractures. This technique simplifies the operation and saves surgical time, which is helpful for clinical practice.

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The modified anterior ellipsoidal cap titanium cable tension band for comminuted patellar fractures

Cited by 4 publications

References 16 publications

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

Management of comminuted patellar fractures using suture reduction technique combined with the modified Kirschner-wire tension band

A double-suture cerclage reduction technique with Nice knots for comminuted patella fractures (AO/OTA 34-C3)

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