ArticleBMC musculoskeletal disorders2023
Incidence of postoperative complications in patellar fractures related to different methods of osteosynthesis procedures - a retrospective cohort study.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Cannulated screws with and without tension band wiring versus tension banding wiring alone for fixation of patella fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Extensor apparatus of the knee: anatomy and injury patterns.Skeletal radiology · 2026Review
- Portable electronic devices for mechanotherapy and operative treatment of osteoarthritis.Mechanobiology in medicine · 2026Review
- Clinical and functional outcomes of fracture pattern-driven plate osteosynthesis technique for comminuted patellar fractures using multiple miniplates.Archives of orthopaedic and trauma surgery · 2026Article
- [Patellar fractures : Modern treatment concepts in clinical routine practice].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Risk factors for reoperation following operative fixation of patella fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Patient-reported outcomes following patella fractures : a nationwide observational study of 8,726 patients from the Swedish Fracture Register.Bone & joint open · 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
- [Why does the patellofemoral cartilage collapse? : A critical analysis of epidemiology, etiology and prevention].Orthopadie (Heidelberg, Germany) · 2025Review
- Separate vertical wiring versus conventional tension band fixation for inferior pole patellar fractures: a prospective cohort study on postoperative patella baja and functional outcomes.Journal of orthopaedic surgery and research · 2025Article
- Clinical and functional outcomes of locked plating vs. cerclage compression wiring for AO type C patellar fractures- a retrospective single-center cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- "Tension band wiring first" -an easy, fast and reproducible technique to reduce patellar fractures, a retrospective comparative study with traditional reduction technique.Journal of orthopaedic surgery and research · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatellar fractures have a comparatively low incidence compared to all fracture frequencies of the musculoskeletal system. However, surgical management is crucial to prevent postoperative complications that affect the knee joint. The purpose of the present study was to evaluate the incidence of postoperative complications and onset of postoperative osteoarthritis related to the chosen technique of patellar fracture management.
methodsIn a retrospective cohort study consecutive managed, isolated patella fractures were reviewed for demographic data, trauma mechanism, patella fracture type, fixation technique and postoperative complications. The results were documented radiographically and clinically and analysed statistically. The reporting followed the STROBE guidelines.
resultsA total of 112 patients were eligible for data evaluation. Surgical management of comminuted patellar fractures with small fragment screws showed significant fewer postoperative complications compared to other fixation techniques (8%, p < 0.043). The incidence of posttraumatic infection was significantly higher following the hybrid fixation technique with cannulated screws and tension wire than following the other analysed techniques (p = 0.024). No postoperative wound infection was observed after screw fixation or locking plate fixation. Symptomatic hardware was most frequently seen after tension-band fixation. Onset of posttraumatic osteoarthritis was most often found after the hybrid fixation technique (55%).
conclusionSurgical management of patellar fractures remains crucial but fracture fixation using plating systems or small fragment screws is least associated with postoperative complications.
trial registrationTrial registration number (DRKS):00027894.
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