Can multiple miniplates improve the treatment of comminuted patellar fracture?
Comminuted patella fracture
Locking compression miniplates
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
02 Dec 2023
02 Dec 2023
Historique:
received:
22
05
2023
accepted:
16
11
2023
medline:
4
12
2023
pubmed:
3
12
2023
entrez:
2
12
2023
Statut:
epublish
Résumé
We have applied primarily multiple locking compression miniplates in treating multifragmentary, comminuted patellar fracture in combination with conventional fixation methods. Medical and radiologic data were retrospectively reviewed for the patients surgically fixated with locking compression miniplates in patellar fracture of AO/OTA 34-C3. The primary outcome was bone union at the final follow-up, and the secondary outcomes were functional outcomes and postoperative complications associated with the procedure. For the functional assessment, the Lysholm score, Tegner scores, and the knee range of motion was compared. A total of twenty patients with AO/OTA 34-C3 patellar fracture were included in the study with an average follow-up period of 15 months (range:11 ~ 18 months) between June 2018 and November 2021. Eleven male and nine female patients presented an average age of 57.15 years. The primary fracture union was seen in all twenty patients, and the average time to the union was 15.6 weeks on serial radiograph follow-up. All patients did not show any postoperative complications, such as fixation failure, infection, or revision operations. Postoperatively, all patients achieved an average range of motion of 130 degrees, and the Lysholm and Tegners scores showed an average of 90.4 and 5.0 at the final follow-up, retrospectively. Fixations with miniplates in comminuted patellar fractures can be a useful option for effective osteosynthesis due to their versatile, efficient, and low-profile nature.
Sections du résumé
BACKGROUND
BACKGROUND
We have applied primarily multiple locking compression miniplates in treating multifragmentary, comminuted patellar fracture in combination with conventional fixation methods.
METHODS
METHODS
Medical and radiologic data were retrospectively reviewed for the patients surgically fixated with locking compression miniplates in patellar fracture of AO/OTA 34-C3. The primary outcome was bone union at the final follow-up, and the secondary outcomes were functional outcomes and postoperative complications associated with the procedure. For the functional assessment, the Lysholm score, Tegner scores, and the knee range of motion was compared.
RESULTS
RESULTS
A total of twenty patients with AO/OTA 34-C3 patellar fracture were included in the study with an average follow-up period of 15 months (range:11 ~ 18 months) between June 2018 and November 2021. Eleven male and nine female patients presented an average age of 57.15 years. The primary fracture union was seen in all twenty patients, and the average time to the union was 15.6 weeks on serial radiograph follow-up. All patients did not show any postoperative complications, such as fixation failure, infection, or revision operations. Postoperatively, all patients achieved an average range of motion of 130 degrees, and the Lysholm and Tegners scores showed an average of 90.4 and 5.0 at the final follow-up, retrospectively.
CONCLUSION
CONCLUSIONS
Fixations with miniplates in comminuted patellar fractures can be a useful option for effective osteosynthesis due to their versatile, efficient, and low-profile nature.
Identifiants
pubmed: 38042790
doi: 10.1186/s12891-023-07045-x
pii: 10.1186/s12891-023-07045-x
pmc: PMC10693109
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
936Subventions
Organisme : Jeju National University Hospital
ID : 원내2022-08
Informations de copyright
© 2023. The Author(s).
Références
Injury. 2012 Aug;43(8):1290-5
pubmed: 22608600
J Bone Joint Surg Am. 1980 Mar;62(2):215-20
pubmed: 7358752
J Bone Joint Surg Am. 1976 Jun;58(4):537-40
pubmed: 1270472
Clin Biomech (Bristol, Avon). 2007 Feb;22(2):176-82
pubmed: 17134800
J Orthop Trauma. 2015 Dec;29(12):e504-10
pubmed: 26270460
J Trauma Acute Care Surg. 2012 Oct;73(4):928-32
pubmed: 22902732
Injury. 2015;46(6):1001-6
pubmed: 25769202
Arch Orthop Trauma Surg. 2018 Feb;138(2):195-202
pubmed: 29058078
Int Orthop. 2022 Jun;46(6):1395-1403
pubmed: 35348834
Orthopedics. 2015 Jun;38(6):377-84
pubmed: 26091213
J Am Acad Orthop Surg. 2011 Apr;19(4):198-207
pubmed: 21464213
J Orthop Trauma. 2017 May;31(5):241-247
pubmed: 28166170
J Orthop Trauma. 2008 Aug;22(7):479-86
pubmed: 18670289
Clin Biomech (Bristol, Avon). 2010 May;25(4):341-7
pubmed: 20096491
J Orthop Trauma. 2015 Sep;29(9):e305-8
pubmed: 26299810
J Orthop Trauma. 2013 Jun;27(6):345-51
pubmed: 22773018
Injury. 2003 Nov;34 Suppl 2:B63-76
pubmed: 14580987
J Bone Joint Surg Am. 2013 Apr 3;95(7):653-9
pubmed: 23553301
J Knee Surg. 2017 Mar;30(3):200-203
pubmed: 28192827
J Orthop Trauma. 2006 Sep;20(8):547-54
pubmed: 16990726