PMID- 31948780 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1879-0267 (Electronic) IS - 0020-1383 (Linking) VI - 51 Suppl 3 DP - 2020 Aug TI - Minimally invasive osteosynthesis technique in the treatment of transverse patellar fractures in the elderly. PG - S50-S55 LID - S0020-1383(20)30012-7 [pii] LID - 10.1016/j.injury.2020.01.012 [doi] AB - BACKGROUND: This prospective study aims to describe our experience in the management of transverse patellar fractures in elderly patients with minimally invasive osteosynthesis technique (MIOT), at 12-months follow-up. METHODS: Patients older than 60, with transverse patellar fracture, type 34-C1 according to the AO/OTA classification system, referred to our trauma centre, between January 2014 and December 2017 were prospectively recruited. All the patients were managed using MIOT surgical procedure and underwent a clinical and radiological follow-up at 2 weeks, 6 weeks and at 3, 6, 12 and 15 months postoperatively. The clinical evaluation was performed using the Lysholm Knee Scoring System (LKSS) and the Visual Analogue Scale (VAS) for pain. The hardware removal was planned at 12-months follow-up. The paired t-test was performed. The test was two-tailed with a confidence level of 5%. RESULTS: 61 patients were recruited. The mean VAS was significantly lower in MIOT group until the 3-months follow-up (p = 0.001). ROM in flexion and LKSS score were significantly better in MIOT-group at all follow-ups, whereas ROM in extension showed no differences, between the two groups, starting from the 6-months follow-up. In the open surgery group, a significantly higher rate of delayed wound healing (p = 0.014), broken wires (p = 0.001) and non-cosmetic scar (p = 0.0221) was observed. CONCLUSIONS: This prospective study shows that MIOT is a safe option for treatment of patellar transverse fractures in elderly patients, since it reduces the intra-operative blood loss, shortens the operating time, and is endowed with lower rates of postoperative complications. CI - Copyright (c) 2020. Published by Elsevier Ltd. FAU - Vicenti, Giovanni AU - Vicenti G AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Bizzoca, Davide AU - Bizzoca D AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Nappi, Vittorio Maria AU - Nappi VM AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Carrozzo, Massimiliano AU - Carrozzo M AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. Electronic address: doc.mcarrozzo@gmail.com. FAU - Miolla, Maria Paola AU - Miolla MP AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Ottaviani, Guglielmo AU - Ottaviani G AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Solarino, Giuseppe AU - Solarino G AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. FAU - Moretti, Biagio AU - Moretti B AD - Orthopedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Consorziale "Policlinico", Piazza Giulio Cesare 11, 70100 Bari, Italy. LA - eng PT - Journal Article DEP - 20200109 PL - Netherlands TA - Injury JT - Injury JID - 0226040 SB - IM MH - Aged MH - Bone Wires MH - Fracture Fixation, Internal MH - *Fractures, Bone/diagnostic imaging/surgery MH - Humans MH - Minimally Invasive Surgical Procedures MH - *Patella/diagnostic imaging/surgery MH - Prospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Minimally invasive osteosynthesis technique (MIOT) OT - Minimally-invasive knee surgery OT - Patella OT - Patellar fractures OT - Tension band wiring COIS- Declaration of Competing Interest All authors declare no support from any organization for the submitted work; no financial relationships with any organizations that might have an interest in the submitted work in the previous three years; and no other relationships or activities that could appear to have influenced the submitted work. EDAT- 2020/01/18 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/01/18 06:00 PHST- 2019/06/05 00:00 [received] PHST- 2019/11/17 00:00 [revised] PHST- 2020/01/05 00:00 [accepted] PHST- 2020/01/18 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/01/18 06:00 [entrez] AID - S0020-1383(20)30012-7 [pii] AID - 10.1016/j.injury.2020.01.012 [doi] PST - ppublish SO - Injury. 2020 Aug;51 Suppl 3:S50-S55. doi: 10.1016/j.injury.2020.01.012. Epub 2020 Jan 9.