Management of comminuted patellar fracture with non-absorbable suture cerclage and Nitinol patellar concentrator
| Autor: | Wang Ming Jun, Liu Wei Feng, Tan Hong Lue, Li Wu Yin |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Knee Joint medicine.medical_treatment Nonunion Osteoarthritis Fracture Fixation Internal Fixation (surgical) Nickel Fracture fixation medicine Humans Internal fixation Range of Motion Articular Fractures Comminuted General Environmental Science Titanium Sutures business.industry Patella Middle Aged medicine.disease Surgery Radiography Treatment Outcome Feasibility Studies General Earth and Planetary Sciences Female Patella fracture Implant business Range of motion Bone Wires Follow-Up Studies |
| Zdroj: | Injury. 45:1974-1979 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2014.10.008 |
| Popis: | Purpose To evaluate the effectiveness and safety of a fixation technique for comminuted patellar fracture using non-absorbable suture cerclage and nickel-titanium patellar concentrator (Ni-Ti PC). Methods Twenty-nine consecutive patients with displaced comminuted patellar fractures accepted internal fixation procedure using Ni-Ti PC augmented with different types of non-absorbable suture cerclage. During follow-up, the clinical grading scales of Bostman, including range of movement, pain, work, atrophy, assistance in walking, effusion, giving way, and stair-climbing, were used to evaluate the clinical results. Complications including implant loosening, fragment displacement, bone nonunion, infection, breakage of the implants, painful hardware, and post-traumatic osteoarthritis were also assessed. Results Patients were followed up for a mean period of 27 months. The bone union radiographically occurred approximately 2.5 months without implant loosening and fragment displacement. According to Bostman method, satisfactory results were obtained, and the mean score at final follow-up was 28 (range 20–30) points. Twenty-two patients with excellent results had mean score of 29.8 ± 0.5 (range 28–30) and seven patients with good results had mean score of 22.7 ± 3.14 (range 20–27). No postoperative complications, such as infection, dislocation, breakage of the implants, painful hardware, and post-traumatic osteoarthritis, were observed. Conclusion Ni-Ti PC fixation with non-absorbable suture cerclage is a feasible approach for comminuted patellar fractures. Firm fixation with this technique resulted in satisfactory outcomes without obvious complications. |
| Databáze: | OpenAIRE |
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