Evidence map›Paper›PMID 38974053›Full record

ArticleJournal of experimental orthopaedics2024

Anterior variable angle locking neutralisation plate superiority over traditional tension band wiring for treating transverse patella fractures.

Majd Tarabichi, Nirav Mungalpara, Asher Lichtig, Sunjung Kim, Joseph Karam, Jason Koh, Farid Amirouche

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Majd TarabichiDepartment of Orthopaedic Surgery University of California, San Francisco San Francisco California USA.
Nirav MungalparaDepartment of Orthopaedic Surgery University of Illinois Chicago Chicago Illinois USA.ORCID 0000-0001-7921-1174
Asher LichtigDepartment of Orthopaedic Surgery University of Illinois Chicago Chicago Illinois USA.
Sunjung KimDepartment of Orthopaedic Surgery University of Illinois Chicago Chicago Illinois USA.
Joseph KaramDepartment of Orthopaedic Surgery University of Illinois Chicago Chicago Illinois USA.
Jason KohDepartment of Orthopaedic Surgery Northshore University HealthSystem Skokie Illinois USA.
Farid AmiroucheDepartment of Orthopaedic Surgery University of Illinois Chicago Chicago Illinois USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This paper investigates the biomechanical benefits of using hybrid constructs that combine cannulated screws with tension band wiring (TBW) cerclage compared to cannulated screws with anterior Variable Angle locking neutralisation plates (VA LNP). These enhancements can bear heavier loads and maintain the repaired patella's integrity, in contrast to traditional methods. Method: Eighteen fresh-frozen human cadaver patellae were carefully fractured transversely at their midpoints using a saw. They were then divided into two groups of nine for subsequent utilisation. Fixation methods included Cannulated Screw Fixation added with either TBW or VA LNP Fixation Technique. Cyclic loading simulations (500 cycles) were conducted to mimic knee motion, tracking fracture displacement with Optotrak. After that, the constructs were secured over a servo-hydraulic testing machine to determine the load-to-failure on axial mode. Results: The average fracture displacement for the anterior neutralisation plate group was 0.09 ± 0.12 mm, compared to 0.77 ± 0.54 mm for the tension band wiring with cannulated screw group after 500 cyclic loading. This result is statistically significant ( Conclusion: This research highlights the superior biomechanical advantage of VA LNP over TBW for treating simple transverse patella fractures with two cannulated screws. It also highlights how the TBW is still a valuable option considering the load-to-failure limit. Level of Evidence: Not Applicable.

Indexed as

anterior variable angle locking neutralisation platecannulated screwscyclic loading testtensile failuretension band wiretransverse patella fracture

Identifiers

PMID38974053
PMCPMC11224969

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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.