ArticleGeriatric orthopaedic surgery & rehabilitation2021
Early Outcomes After Surgical Management of Geriatric Patella Fractures.
Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Complications following surgical treatment of patella fractures - a systematic review and proportional meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Implant removal: benefits and drawbacks - Results of a survey with five hundred participants from the Italian Society of Orthopedic Surgery and Traumatology (SIOT) and comparison with other international trends.International orthopaedics · 2025Article
- Simulation of realistic patella fractures: an investigation into the mechanism and potential benefit for surgical training.Knee surgery & related research · 2025Article
- Predicting Complications Following Patella Fracture Repair Using the 5-Item Modified Frailty Index.The Iowa orthopaedic journal · 2025Article
- Cannulated compression screws with cable technique leads to a dramatic reduction in patella fracture fixation complications compared to tension band wiring.Archives of orthopaedic and trauma surgery · 2024Article
- High risk of complications following surgical treatment of patella fractures - a cross-sectional study of 798 patients with mean 6.4 years follow-up.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Comparative risk stratification for prediction of early postoperative morbidity and mortality after open fixation of periarticular lower extremity fractures.Journal of clinical orthopaedics and trauma · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo report the incidence and risk factors for prolonged hospitalization, discharge to a facility, and postoperative complications in geriatric patients who underwent surgery for patella fracture.
designRetrospective database review.
settingThe American College of Surgeons-National Surgical Quality Improvement Program (NSQIP) collects data from 600 hospitals across the United States. PATIENTS/
participantsNSQIP patients over 65 years of age with patella fractures.
interventionSurgical fixation of patella fracture including extensor mechanism repair. MAIN OUTCOME MEASUREMENTS: Prolonged hospitalization, discharge to a facility, and 30-day post-operative complications.
results1721 patients were included in the study. The average age was 74.9 years. 358 (20.8%) patients were male. 122 (7.1%) patients had a length of stay greater than 7 days. Factors associated with prolonged length of stay include pre-existing renal failure, need for emergent surgery, and time to surgery greater than 24 hours from admission. 640 patients (37.2%) of patients were discharged to a facility after surgery. Discharge to facility was associated with age >77 years, obesity, anemia, thrombocytopenia, pre-operative SIRS, and CCI > 0.5. Admission from home decreased the odds of discharge to a facility. The most common postoperative complications in this population were unplanned readmission (3.4%), unplanned reoperation (2.7%), surgical site infection (1.1%), mortality (1.0%), venous thromboembolism (0.8%), and wound dehiscence (0.2%). Complication rates increased with anemia and ASA class IV-V.
conclusionsGeriatric patients undergoing operative intervention for patella fractures are at high risk for prolonged hospitalization, discharge to facility, unplanned readmission or reoperation, and surgical site complications in the first 30 days following surgery. This study highlights modifiable and non-modifiable risk factors associated with adverse events. Early recognition of these factors can allow for close monitoring and multidisciplinary intervention in the perioperative period to improve outcomes. LEVEL OF EVIDENCE: Prognostic level III.
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