Dorsal Hook Plating of Patella Fractures With Immediate Range of Motion Results in Reliable Fixation, Low Implant Removal Rates, and Satisfactory Clinical Outcomes.
| Autor: | Phen HM; Hospital for Special Surgery, New York, NY., Barth KA, Bilodeau RE, Klinger CE, Brusalis CM, Ricci WM |
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| Jazyk: | angličtina |
| Zdroj: | Journal of orthopaedic trauma [J Orthop Trauma] 2024 Jul 01; Vol. 38 (7), pp. 378-382. |
| DOI: | 10.1097/BOT.0000000000002809 |
| Abstrakt: | Objectives: To evaluate radiographic and clinical patient-reported outcomes following dorsal hook plating of displaced patella fractures with permittance of immediate postoperative active closed chain range of motion. Design: Retrospective review of prospectively collected data. Setting: Urban academic level 1 trauma center. Patient Selection Criteria: Adult patients with displaced patella fractures (OTA/AO 34C1-3) who underwent dorsal plating with immediate range of motion between 2018 and 2023. Outcome Measures and Comparisons: Numerical Rating Scale for Pain, Knee Outcome Score (KOS-ADL), Tegner-Lysholm score, radiographic union, and wound complications were collected. Results: Sixty-one patients were included (47 female) with an average age of 63 years (SD 14.7, range 22-86 years). The mean BMI was 24.2 (SD 3.6, range 16.6-33.3). There were 13 34-C2 and 48 34-C3 fractures. All but 2 patients (96.7%) achieved bony union after the index procedure. 89% (n = 54) of patients completed outcome surveys with at least 6-month follow-up. Six patients (9.8%) underwent removal of plate implant at a mean of 15.1 months postoperatively. The mean KOS-ADL score was 91.4, the mean Tegner-Lysholm score was 78.1, and the mean NRS was 2.7. Conclusions: Dorsal hook plating offers secure fixation to allow early range of motion, reliable fixation with low nonunion and implant failure rates, low implant removal rates, and satisfactory patient-reported outcomes. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Competing Interests: Relevant financial activities outside the submitted work: Dr. Ricci reports the following disclosures: Ownership Interest: Cable Fix LLC, CrookedFoot Medical LLC, McGinley Orthopaedic Innovations, LLC, Primo MC LLC, HS2. Royalties: MicroPort, Smith & Nephew, Wolters-Kluwer. Potential Royalties: SMV Orthopaedics (now OsteoCentric). Consultant: Smith & Nephew. Institutional Support: AONA. Board Memberships: OTA, JOT, HSS. The remaining authors report no conflict of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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