To plate, or not to plate? A systematic review of functional outcomes and complications of plate fixation in patellar fractures.

Complications Functional outcomes ORIF Patella Patellar fractures Plating Reoperation

Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 31 03 2023
accepted: 17 05 2023
pubmed: 8 6 2023
medline: 8 6 2023
entrez: 7 6 2023
Statut: ppublish

Résumé

Poor outcomes and high complication and reoperation rates have been reported with tension-band wiring (TBW) in the management of patellar fractures and particularly the comminuted ones. The purpose of this study was to investigate the functional outcomes and complication rates of patellar fractures managed with open reduction and internal fixation (ORIF) with a plate. MEDLINE, EMCare, CINAHL, AMED and HMIC were searched, and the PRISMA guidelines were followed. Two independent reviewers extracted the data from the included studies and assessed them for the risk of bias. Plating of patellar fractures is associated with satisfactory range of movement (ROM) and postoperative function and low pain levels. We found a 10.44% complication rate and a low reoperation rate. Reoperations were mainly performed for metalwork removal. ORIF with plating of patellar fractures is a safe alternative in the management of patellar fractures and may be associated with a lower complication and reoperation rate compared to TBW. Future randomized prospective studies are needed to validated the results of the present systematic review.

Identifiants

DOI: 10.1007/s00590-023-03597-9 PMID: 37286819
pubmed: 37286819
doi: 10.1007/s00590-023-03597-9
pii: 10.1007/s00590-023-03597-9
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3287-3297

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

Références

Gwinner C, Mardian S, Schwabe P, Schaser KD, Krapohl BD, Jung TM (2016) Current concepts review: fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW 5:Doc1. https://doi.org/10.3205/iprs000080
doi: 10.3205/iprs000080
John J, Wagner WW, Kuiper JH (2017) Tension-band wiring of transverse fractures of patella. The effect of site of wire twists and orientation of stainless steel wire loop: a biomechanical investigation. Int Orthop 3:703–707. https://doi.org/10.1007/s00264-006-0238-0
doi: 10.1007/s00264-006-0238-0
Carpenter JE, Kasman RA, Patel N, Lee ML, Goldstein SA (1997) Biomechanical evaluation of current patella fracture fixation techniques. J Orthop Trauma 11:351–356. https://doi.org/10.1097/00005131-199707000-00009
doi: 10.1097/00005131-199707000-00009 pubmed: 9294799
Henrichsen JL, Wilhem SK, Siljander MP, Kalma JJ, Karadsheh MS (2018) Treatment of patella fractures. Orthopedics 41:e747–e755. https://doi.org/10.3928/01477447-20181010-08
doi: 10.3928/01477447-20181010-08 pubmed: 30321439
Moher D, Liberati A, Tetzlaff J, Altman DG, GroupP (2010) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 8:336–341. https://doi.org/10.1016/j.ijsu.2010.02.007
doi: 10.1016/j.ijsu.2010.02.007 pubmed: 20171303
Munn Z, Barker TH, Moola S, Tufanaru C, Stern C, McArthur A et al (2020) Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. JBI Evid Synth 18:2127–2133. https://doi.org/10.11124/JBISRIR-D-19-00099
doi: 10.11124/JBISRIR-D-19-00099 pubmed: 33038125
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73:712–716. https://doi.org/10.1046/j.1445-2197.2003.02748.x
doi: 10.1046/j.1445-2197.2003.02748.x pubmed: 12956787
Veselko M, Kastelec M (2005) Inferior patellar pole avulsion fractures: osteosynthesis compared with pole resection. Surgical technique. J Bone Joint Surg Am 87:113–121. https://doi.org/10.2106/JBJS.D.02631
doi: 10.2106/JBJS.D.02631 pubmed: 15743853
Lorich DG, Warner SJ, Schottel PC, Shaffer AD, Lazaro LE, Helfet DL (2015) Multiplanar fixation for patella fractures using a low-profile mesh plate. J Orthop Trauma 29:e504-510. https://doi.org/10.1097/BOT.0000000000000415
doi: 10.1097/BOT.0000000000000415 pubmed: 26270460
Matejcic A, Ivica M, Jurisic D, Cuti T, Bakota B, Vidovic D (2015) Internal fixation of patellar apex fractures with the basket plate: 25 years of experience. Injury 46:S87-90. https://doi.org/10.1016/j.injury.2015.10.068
doi: 10.1016/j.injury.2015.10.068 pubmed: 26584729
Lorich DG, Fabricant PD, Sauro G, Lazaro LE, Thacher RR, Garner MR et al (2017) Superior outcomes after operative fixation of patella fractures using a novel plating technique: a prospective cohort study. J Orthop Trauma 31:241–247. https://doi.org/10.1097/BOT.0000000000000787
doi: 10.1097/BOT.0000000000000787 pubmed: 28166170
Volgas D, Dreger TK (2017) The use of mesh plates for difficult fractures of the patella. J Knee Surg 30:200–203. https://doi.org/10.1055/s-0037-1598078
doi: 10.1055/s-0037-1598078 pubmed: 28192827
Cho JW, Kim J, Cho WT, Gujjar PH, Oh CW, Oh JK (2018) Comminuted inferior pole fracture of patella can be successfully treated with rim-plate-augmented separate vertical wiring. Arch Orthop Trauma Surg 138:195–202. https://doi.org/10.1007/s00402-017-2807-7
doi: 10.1007/s00402-017-2807-7 pubmed: 29058078
Gao S, Zhang F, Gao T, Liu X, Zhang Z, Dai M (2018) A novel technique of using a miniature plate in combination with tension band wiring to treat comminuted patellar fractures. Medicine 97:e0311. https://doi.org/10.1097/MD.0000000000010311l
doi: 10.1097/MD.0000000000010311l pubmed: 29642160 pmcid: 5908579
Moore TB, Sampathi BR, Zamorano DP, Tynan MC, Scolaro JA (2018) Fixed angle plate fixation of comminuted patellar fractures. Injury 49:1203–1207. https://doi.org/10.1016/j.injury.2018.03.030
doi: 10.1016/j.injury.2018.03.030 pubmed: 29609972
Siljander M, Koueiter DM, Gandhi S, Wiater BP, Wiater PJ (2018) Outcomes following low-profile mesh plate osteosynthesis of patella fractures. J Knee Surg 31:919–926. https://doi.org/10.1055/s-0038-1625958
doi: 10.1055/s-0038-1625958 pubmed: 29381883
Wurm S, Buhren V, Augat P (2018) Treating patella fractures with a locking patella plate—first clinical results. Injury 49:S51–S55. https://doi.org/10.1016/S0020-1383(18)30304-8
doi: 10.1016/S0020-1383(18)30304-8 pubmed: 29929694
Cho JW, Kent WT, Cho WT, Kim JK, Moon KH, Yeo DH et al (2019) Miniplate augmented tension-band wiring for comminuted patella fractures. J Orthop Trauma 33:e143–e150. https://doi.org/10.1097/BOT.0000000000001390
doi: 10.1097/BOT.0000000000001390 pubmed: 30893222
Elwein A, Lill H, DeyHazra RO, Smith T, Katthagen JC (2019) Outcomes after locked plating of displaced patella fractures: a prospective case series. Int Orthop 43:2807–2815. https://doi.org/10.1007/s00264-019-04337-7
Jang JH, Rhee SJ, Kim JW (2019) Hook plating in patella fractures. Injury 50:2084–2088. https://doi.org/10.1016/j.injury.2019.08.018
doi: 10.1016/j.injury.2019.08.018 pubmed: 31445832
Meng D, Xu P, Shen D, Chen Y, Zhu C, Hou C et al (2019) A clinical comparison study of three different methods for treatment of transverse patellar fractures. J Orthop Sci 24:142–146. https://doi.org/10.1016/j.jos.2018.08.026
doi: 10.1016/j.jos.2018.08.026 pubmed: 30316657
Vajapey S, Santiago J, Contreras E, Quatman CE, Phieffer LS (2019) Contourable craniofacial mesh plate osteosynthesis of patellar fractures: a new, low-profile fixation technique. J Clin Orthop Trauma 10:S201–S206. https://doi.org/10.1016/j.jcot.2019.02.015
doi: 10.1016/j.jcot.2019.02.015 pubmed: 31700211 pmcid: 6823816
Zhu W, Xie K, Li X, Li L, Yang J, Xu L et al (2020) Combination of a miniplate with tension band wiring for inferior patellar pole avulsion fractures. Injury 51:764–768. https://doi.org/10.1016/j.injury.2020.01.028
doi: 10.1016/j.injury.2020.01.028 pubmed: 32005322
He QF, Pan GB, Yu ZF, Yao WX, Zhu LL, Luo CF et al (2021) Novel rim plating technique for treatment of the inferior pole fracture of the patella. Orthop Surg 13:651–658. https://doi.org/10.1111/os.12876
doi: 10.1111/os.12876 pubmed: 33619908 pmcid: 7957411
Shymon SJ, Jansson H, Schneiderman BA, Nazareth A, Hoshino CM, Zinar DM et al (2021) Functional outcomes of patella fractures treated with anterior plate osteosynthesis at one year. J Orthop Trauma 35:e1–e6. https://doi.org/10.1097/BOT.0000000000001868
doi: 10.1097/BOT.0000000000001868 pubmed: 33079836
Zderic I, Stoffel K, Sommer C, Hontzsch D, Gueorguiev B (2017) Biomechanical evaluation of the tension band wiring principle. A comparison between two different techniques for transverse patella fracture fixation. Injury 48:1749–1757. https://doi.org/10.1016/j.injury.2017.05.037
doi: 10.1016/j.injury.2017.05.037 pubmed: 28622833
Wagner FC, Neumann MV, Wolf S, Jonaszik A, Izadpanah K, Piatek S et al (2020) Biomechanical comparison of a 3.5 mm anterior locking plate to cannulated screws with anterior tension band wiring in comminuted patellar fractures. Injury 51:1281–1287. https://doi.org/10.1016/j.injury.2020.03.030
doi: 10.1016/j.injury.2020.03.030 pubmed: 32197829
Alley MC, Kain M, Mitchell S, Walker JB, Jones CB, Tornetta P (2023) Anterior hook plating of patella fractures: a biomechanical analysis and clinical series. J Orthop Trauma. https://doi.org/10.1097/BOT.0000000000002565
doi: 10.1097/BOT.0000000000002565 pubmed: 37735752
Kfuri M, Escalante I, Schopper C, Zderic I, Stoffel K, Sommer C et al (2021) Comminuted patellar fractures: the role of biplanar fixed angle plate constructs. J Orthop Translat 27:17–24. https://doi.org/10.1016/j.jot.2020.10.003
doi: 10.1016/j.jot.2020.10.003 pubmed: 33344168
Dy CJ, Little MT, Berkes MB, Ma Y, Roberts TR, Helfet DL et al (2012) Meta-analysis of re-operation, nonunion, and infection after open reduction and internal fixation of patella fractures. J Trauma Acute Care Surg 73:928–932. https://doi.org/10.1097/TA.0b013e31825168b6
doi: 10.1097/TA.0b013e31825168b6 pubmed: 22902732

Auteurs

Stavros Tsotsolis (S)

Department of Trauma and Orthopaedics, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Joon Ha (J)

Department of Trauma and Orthopaedics, Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 1FR, UK.

Andre Rui Coelho Fernandes (ARC)

Department of Trauma and Orthopaedics, York and Scarborough NHS Trust, York, UK.

Jae Yong Park (JY)

Faculty of Medicine, Imperial College London, London, UK.

Maximilian Dewhurst (M)

Department of Trauma and Orthopaedics, Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 1FR, UK.

Thomas Walker (T)

Department of Trauma and Orthopaedics, Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 1FR, UK.

Kevin Ilo (K)

University Hospitals of Derby and Burton NHS Trust, Royal Derby Hospital, Derby, UK.

Se Ri Park (SR)

Faculty of Medicine, Imperial College London, London, UK.

Amit Patel (A)

Department of Trauma and Orthopaedics, Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 1FR, UK.

Thomas Hester (T)

Kings College Hospital NHS Foundation Trust, London, UK.

Freideriki Poutoglidou (F)

Department of Trauma and Orthopaedics, Barts Health NHS Trust, Royal London Hospital, Whitechapel Road, London, E1 1FR, UK. Freideriki.Poutoglidou@nhs.net.
ORCID: 0000-0003-4840-9748

Classifications MeSH