Comparison of the Cable Pin System With Conventional Open Surgery for Transverse Patella Fractures
| Autor: | Haijian Ni, Qiu-lin Zhang, Ningfang Mao, Deding Liu, Hao Tang |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male China medicine.medical_specialty Time Factors Knee Joint Radiography Bone Nails Prosthesis Design Fracture Fixation Internal Fractures Bone Young Adult Fixation (surgical) Clinical Research Fracture fixation Wire tension Humans Minimally Invasive Surgical Procedures Medicine Orthopedics and Sports Medicine Prospective Studies Range of Motion Articular Aged Pain Measurement Orthodontics Pain Postoperative Chi-Square Distribution Arthrometry Articular business.industry Open surgery Patella Recovery of Function General Medicine Middle Aged Biomechanical Phenomena Surgery Transverse plane Treatment Outcome Orthopedic surgery Female business Bone Wires |
| Zdroj: | Clinical Orthopaedics & Related Research. 471:2361-2366 |
| ISSN: | 0009-921X |
| DOI: | 10.1007/s11999-013-2932-8 |
| Popis: | The cable pin system is an effective device for fixation of transverse patella fractures. However, whether this device provides superior results using a minimally invasive technique instead of conventional open surgery using the K wire tension band method is unclear.We asked whether a minimally invasive technique would be associated with (1) increased operative time; (2) reduced postoperative pain; (3) faster recovery of ROM; (4) higher knee scores; and (5) reduced complications.Forty patients with displaced transverse fractures of the patella participated in this prospective, randomized, controlled trial. Twenty of these patients underwent a minimally invasive technique and the others had conventional open surgery using K wires. Some data for six of the 20 patients who underwent the minimally invasive technique were published in an earlier prospective, observational trial. At postoperative intervals of 1, 3, 6, 12, and 24 months, pain was measured by VAS scores, active flexion and extension of the knee were measured in degrees by goniometry, and knee function was evaluated using the Böstman clinical grading scale.Operative time was longer in the minimally invasive surgery group (54.3 ± 9.8 minutes versus 48.5 ± 6.1 minutes). Pain scores were better (lower) in the minimally invasive surgery group at 1 and 3 months but not at 6 months. Early flexion, ultimate flexion, and knee scores from 3 to 24 months, likewise, were better in the minimally invasive surgery group. Complications mostly related to symptomatic hardware were less common in the minimally invasive surgery group.The minimally invasive technique is superior to conventional open surgery using K wires in terms of less early postoperative pain, better mobility angles of the injured knee, higher functional score of the injured knee, and decreased incidence of complications.Level I, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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