ReviewJournal of experimental orthopaedics2023
Surgical treatment of inferior pole fractures of the patella: a systematic review.
Review in Journal of experimental orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 13 citations in OpenAlex.
- 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
- 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
- Double-Row Suture Anchor Fixation for Inferior Pole Patella Fracture: A Novel Technique.Cureus · 2026Article
- Hybrid separate vertical wiring plus tension-band fixation for inferior-pole patellar fractures with articular-body extension: a consecutive series of 14 cases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- TREATMENT OF INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE.Acta ortopedica brasileira · 2026Review
- [Treatment of inferior pole patellar fractures with suture anchors and headless compression screws].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Neglected patella nonunion repair with tension band plating, quadricepsplasty, and tibial autograft.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Arthroscopic Resection of Nonunion Inferior Pole Patella Fracture.Arthroscopy techniques · 2025Article
- The flexible separate vertical suture fixation for comminuted inferior patella fracture with osteoporosis: a retrospective clinical study.BMC musculoskeletal disorders · 2025Article
- Mesh Reconstruction of Extensor Mechanism for Fracture Nonunion of the Patella in an Osteoarthritic Knee.Arthroplasty today · 2025Article
- [Effectiveness of three-needle and two-cable structure in treatment of inferior patellar pole avulsion fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Comparative study of twin-perforated orthopedic pin with metal cable versus ao tension band wiring in patellar fracture management.BMC surgery · 2025Article
- Mapping of Patellar Fracture Patterns: A Multicenter Study of 237 Patients.Journal of clinical medicine · 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
- A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note.The archives of bone and joint surgery · 2025Article
- A study of fracture lines distribution characteristics in complete articular fractures of the patella.Frontiers in surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to comprehensively review the existing evidence concerning surgical treatment of inferior pole fractures of the patella and to report the outcomes and complications of different fixation techniques.
methodThis systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches of PubMed, Scopus, and Web of Science were conducted in March 2023. Studies were screened against predecided inclusion and exclusion criteria. The extracted data included fracture characteristics, surgical techniques, and radiographic and functional outcomes. The Methodological Index for Non-Randomized Studies (MINORS) quality assessment tool was used to assess the eligible literature. The primary outcome was postoperative range of motion of different surgical methods, and the secondary outcomes were other clinical results and complications.
resultsA total of 42 studies satisfied all the inclusion criteria and were deemed suitable for review. Fourteen case-control studies and 28 case series were selected, for a total of 1382 patients with a mean age of 51.0 years (range = 11-90). The follow-up period ranged from 6 to 300 months. The surgical techniques were categorized based on the device used as follows: (1) rigid fixation device; (2) tensile fixation device; (3) mixed device; and (4) extra-patella device.
conclusionRegarding the outcomes following surgical treatment of inferior pole fractures of the patella, the postoperative range of motion (ROM) of each technique ranged from 120° to 135°, with the exception of that involving the patellotibial wire which had poorer outcomes. The lowest functional score was also found in those using the patellotibial wire. Complications after surgery are rare, but approximately half of the patients required additional surgery for implant removal, particularly those whose initial surgery involved rigid fixation devices. It's worth noting that bony fragment excision is no longer recommended, and the combined use of multiple surgical devices is now more common.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.