ArticleArchives of orthopaedic and trauma surgery2023
A novel patella fracture fixation technique: finite element analysis.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 13 citations in OpenAlex.
- BIOMECHANICAL EVALUATION OF FIXATION METHODS IN PATELLAR FRACTURES (AO 34-C3): AN IN VITRO ANALYSIS.Acta ortopedica brasileira · 2026Article
- Development of a knee joint magnetic resonance imaging (MRI)-based model for finite element analysis (FEA) applications.SICOT-J · 2026Article
- Intra-osseous and coverage fixation for inferior pole fracture of the patella: a comparative finite element analysis and retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- [Three-dimensional binding treatment for avulsion fractures of inferior pole of patella utilizing suture anchor].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Biomechanical characteristics of ligament injuries in the knee joint during impact in the upright position: a finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Lateral rim variable angle locked plating versus tension band wiring of simple and complex patella fractures: a biomechanical study.Archives of orthopaedic and trauma surgery · 2024Article
- Comparative study of locking neutralization plate construct versus tension band wiring with a cannulated screw for patella fractures: experimental and finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Computational evaluation of wire position using separate vertical wire technique and candy box technique for the fixation of inferior pole patellar fractures: a finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Novel screw-cable integrated system(SCIS) for minimally invasive treatment of patella transverse fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2023Article
- Candy box technique for the fixation of inferior pole patellar fractures: finite element analysis and biomechanical experiments.BMC musculoskeletal disorders · 2023Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatella fractures account for approximately 1% of all bone fractures. The tension band wiring technique has been used in surgical treatment. However, there is no clear information about the location of the K-wires in sagittal plane. Thus, a transverse fracture line was created in the patella finite element model and fixed with Kirchner (k) wires and cerclage at different angles and compared with two different standard tension band models. MATERIALS AND
methodsA total of 10 finite element models were created to study AO/OTA 34-C1 patella fractures. Two models used the classical tension band method with either circumferential or 8-shaped cerclage wire. The other 8 models used K-wires placed at 45° or 60°, either alone or combination with cerclage wire. A force of 200 N, 400 N, and 800 N were applied at 45° knee angle and the resulting data fracture line opening, surface pressure and stress in the implants were analyzed through finite element analysis.
resultsWhen all the results are considered, it was determined that the K-wires 60° crossing at the fracture line and with cerclage modeling was superior to the other models. The diagonal placement of the K-wires with cerclage (could be 45° or 60° medium) was superior to the reference models.
conclusionsThis study has shown that the new fixation method we propose could come to the fore as an alternative method to be used successfully in transverse patella fractures and lower complications. In transverse patellar fractures, the use of K-wires crossed at 60° may be a good alternative to the standard method.
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