ArticleJournal of orthopaedic surgery and research2021
Fracture of the inferior pole of the patella: tension band wiring versus transosseous reattachment.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Tension band wiring versus suture anchoring for inferior pole patellar fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- [Treatment of comminuted fractures of inferior pole of patella with Krackow suture of patellar tendon with vertical fixation through bone tunnels combined with Kirschner wire tension band].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Transosseous sutures versus vertical cerclage wire for distal pole patellar fractures: a retrospective comparative cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- A biomechanical comparison of antegrade versus retrograde cannulated screw direction in suture-based tension band fixation of transverse patella fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Treatment of inferior pole patellar fractures with an integrated titanium cable-net construct: a retrospective case series.BMC musculoskeletal disorders · 2026Article
- Double-row wired anchors combined with "8" cross tension bands: an innovative procedure for the treatment of inferior pole fractures of the patella and its finite element and biomechanical evaluation.Archives of orthopaedic and trauma surgery · 2026Article
- Patellar fracture mapping: characteristics of fracture line distribution and risk factors for postoperative malposition.Journal of orthopaedic surgery and research · 2026Article
- Double-Row Suture Anchor Fixation for Inferior Pole Patella Fracture: A Novel Technique.Cureus · 2026Article
- TREATMENT OF INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE.Acta ortopedica brasileira · 2026Review
- Alteration of Insall-Salvati ratio is associated with complications following fixation of patella fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Mesh Reconstruction of Extensor Mechanism for Fracture Nonunion of the Patella in an Osteoarthritic Knee.Arthroplasty today · 2025Article
- Why does tension band wiring fail in transverse patellar fractures? Radiographic insights from a 10-years retrospective cohort.Journal of orthopaedic surgery and research · 2025Article
- Krackow suturing combined with the suture-bridge technique versus Kirschner-wire tension band combined with patellar cerclage for the treatment of inferior pole patella fracture: a retrospective comparative study.Journal of orthopaedic surgery and research · 2025Article
- Morphological Characteristics of Inferior Pole Patellar Fractures and a Finite-Element Analysis Combined With a Retrospective Clinical Study of Anchor Suture and Titanium Cable Cerclage Treatment.Orthopaedic surgery · 2025Observational
- Serial Change in Patellar Height after Tension Band Wiring of Patellar Fractures.Medicina (Kaunas, Lithuania) · 2024Article
- Patella Fracture Fixation Technique with Suture Anchors.Journal of orthopaedic case reports · 2024Article
- Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment.Orthopedic reviews · 2024Article
- Candy box technique for the fixation of inferior pole patellar fractures: finite element analysis and biomechanical experiments.BMC musculoskeletal disorders · 2023Article
- Surgical treatment of inferior pole fractures of the patella: a systematic review.Journal of experimental orthopaedics · 2023Review
- The use of a 30-degree radiolucent triangle during surgery in distal avulsion fractures of the patella.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal surgical technique for the fixation of inferior pole patellar fracture remains controversial. The aims of this study were (1) to compare clinical and radiological outcomes following fixation of inferior pole patellar fracture by using tension band wire (TBW) and transosseous reattachment (TOR) without excision of the bony fragment and (2) to determine the risk factors for postoperative radiological loss of reduction.
methodsFor this retrospective cohort study, consecutive patients with inferior pole patellar fracture between January 2010 and December 2017 were recruited. The patients were grouped according to their fixation method (TBW or TOR), and demographic data, clinical outcomes, and postoperative Insall-Salvati (IS) ratio were analyzed. Then, the patients were grouped according to radiological loss of reduction, the possible risk factors for loss of reduction were identified, and odds ratios were calculated.
resultThis study included 55 patients with inferior pole patellar fracture; 30 patients were treated using TBW and 25 were treated using TOR. Clinical failure occurred in two patients in the TBW group (7%) and three in the TOR group (12%). The rate of radiological loss of reduction was significant higher in the TOR group, whereas removal of implants was significantly more common in the TBW group. Patella baja was noted immediately after surgery in the TOR group, but the IS ratios of the two groups were similar after 3 months. Fracture displacement of more than 30 mm was the only independent risk factor for postoperative radiological loss of reduction.
conclusionFor treating inferior pole patellar fracture, both TWB and TOR were effective and had a low clinical failure rate. In 60% of patients undergoing TBW fixation, however, additional surgery was required to remove the implants. Patella baja occurred immediately following TOR, but the patellar height was similar to that in the TBW group after 3 months. Surgeons should be aware of the high risk of postoperative radiological loss of reduction, especially when the fracture displacement is more than 30 mm.
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