PMID- 34232348
OWN - NLM
STAT- MEDLINE
DCOM- 20230201
LR  - 20230202
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Linking)
VI  - 143
IP  - 1
DP  - 2023 Jan
TI  - Management of comminuted inferior patellar pole fractures with 
      cerclage-wire-augmented separate vertical wiring: a retrospective clinical study.
PG  - 247-254
LID - 10.1007/s00402-021-04034-4 [doi]
AB  - PURPOSE: Comminuted inferior patellar pole fractures are challenging injuries and 
      require effective treatment due to the extension mechanism of the knee. This 
      study aims to evaluate the outcome of above fractures treated with a modified 
      technique of cerclage-wire-augmented separate vertical wiring (SVW) with cerclage 
      wiring passed through the proximal patella. METHODS: Retrospective analysis 
      (1/2017-1/2020) were performed for patients that were treated with three SVWs 
      through the posterior margin of proximal fragment and directly to the 
      anterosuperior border of patella, combined with a cerclage wiring passed through 
      the proximal patella. Patients who experienced comminuted inferior patellar pole 
      fractures within 3 weeks were included, and the outcome was evaluated 
      radiologically and clinically by Bostman score after a minimum of 12 months 
      following surgery. Further evaluation included the operation time and 
      complication rate. RESULTS: A total of 20 patients (10 males, 10 females) with a 
      mean age of 54 +/- 14.5 years (26-83 years) and a follow-up of 18.9 +/- 6.6 months 
      (12-36 months) were evaluated. The average operation time was 45.7 +/- 8.8 min 
      (30-60 min). At final follow-up, the average range of motion was 131.3 degrees  +/- 3.5 degrees  
      (125 degrees -135 degrees ), and the mean Bostman score was 29.4 +/- 0.7 points (28-30) and graded 
      excellent in all cases. Two patients experienced occasional giving way of the 
      knee. Radiologically no loss of reduction, implant breakage, nonunion or skin 
      irritation was observed. CONCLUSIONS: The cerclage-wire-augmented SVW with 
      cerclage wiring passed through the proximal patella appears to be a safe and 
      simple technique which can effectively treat the comminuted inferior patellar 
      pole fractures.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Yan, Shuang G
AU  - Yan SG
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical 
      University, Hefei, China.
FAU - Li, Di
AU  - Li D
AD  - Department of Orthopedic Surgery, Changhai Hospital, The Second Military Medical 
      University, Shanghai, China. orthlee@163.com.
FAU - Cui, Yiliang
AU  - Cui Y
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical 
      University, Hefei, China. cuiyiliang0007@163.com.
FAU - Hua, Xingyi
AU  - Hua X
AD  - Department of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical 
      University, Hefei, China.
FAU - Hemmann, Philipp
AU  - Hemmann P
AD  - BG Trauma Center, Eberhard Karls University Tubingen, Tubingen, Germany.
FAU - Schmidutz, Florian
AU  - Schmidutz F
AD  - BG Trauma Center, Eberhard Karls University Tubingen, Tubingen, Germany.
AD  - Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, 
      University of Munich (LMU), Munich, Germany.
LA  - eng
PT  - Journal Article
DEP - 20210707
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Male
MH  - Female
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - Retrospective Studies
MH  - Patella/surgery/injuries
MH  - *Fractures, Bone/surgery
MH  - Fracture Fixation, Internal/methods
MH  - Bone Wires
MH  - *Fractures, Comminuted/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cerclage wiring
OT  - Inferior pole fracture
OT  - Patellar fracture
OT  - Separate vertical wiring
EDAT- 2021/07/08 06:00
MHDA- 2023/02/02 06:00
CRDT- 2021/07/07 12:21
PHST- 2021/03/27 00:00 [received]
PHST- 2021/06/29 00:00 [accepted]
PHST- 2021/07/08 06:00 [pubmed]
PHST- 2023/02/02 06:00 [medline]
PHST- 2021/07/07 12:21 [entrez]
AID - 10.1007/s00402-021-04034-4 [pii]
AID - 10.1007/s00402-021-04034-4 [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2023 Jan;143(1):247-254. doi: 
      10.1007/s00402-021-04034-4. Epub 2021 Jul 7.