ArticleJournal of orthopaedic surgery and research2025
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.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cannulated screw tension band versus Kirschner wire tension band for patellar fractures: A systematic review and meta-analysis.Joint diseases and related surgery · 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
- Treatment of inferior pole patellar fractures with an integrated titanium cable-net construct: a retrospective case series.BMC musculoskeletal disorders · 2026Article
- Clinical application of cannulated screws tension band and cerclage fixation for displaced patellar fractures based on fracture morphological classification.Frontiers in surgery · 2026Article
- TREATMENT OF INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE.Acta ortopedica brasileira · 2026Review
- The flexible separate vertical suture fixation for comminuted inferior patella fracture with osteoporosis: a retrospective clinical study.BMC musculoskeletal disorders · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundKrackow suturing and suture bridge technique was compared with Kirschner-Wire (K-wire) tension band and patella cerclage for the fixation of inferior pole patella fracture.
methodsThis was a retrospective study of 47 patients with inferior pole patella fractures who underwent fixation procedures at our hospital between January 2019 and May 2022, of whom 25 had Krackow suturing combined with the suture-bridge technique (GROUP 1), and 22 received a K-wire tension band combined with patellar cerclage (GROUP 2). We compared the operative time, reoperation rate, Böstman score, knee range of motion (ROM), fracture-healing time, Insall-Salvati index, complications and hospital expenses between the two groups.
resultsThe average follow-up period was 23.1 ± 5.8 months. The complication and reoperation rates in the GROUP 2 were significantly higher than those in the GROUP 1 (P = 0.023 and P < 0.001). While the GROUP 1 has lower hospital expenses than GROUP 2 (P < 0.001). However, significant differences were not found regarding the Böstman score, knee ROM, Insall-Salvati index, fracture-healing time, and operation time between the two groups.
conclusionsBoth Krackow suturing combined with the suture-bridge technique and the K-wire tension band technique can achieve comparable clinical efficacy in stably fixing inferior patellar pole fractures, subsequently allowing an early commencement of rehabilitation exercise, while the suture-bridge technique can also reduce the incidence of complications, hospital expenses and the need for reoperation surgery.
trial registrationThis study was registered on https://www.chictr.org.cn (registration No. ChiCTR2300072069, 2023/06/01, retrospectively registered). Informed consent was obtained from all individual participants included in the study.
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