SynthesisArchives of orthopaedic and trauma surgery2025
Cannulated screws with and without tension band wiring versus tension banding wiring alone for fixation of patella fractures: a systematic review and meta-analysis.
Synthesis in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Clinical application of cannulated screws tension band and cerclage fixation for displaced patellar fractures based on fracture morphological classification.Frontiers in surgery · 2026Article
- Tension Band Fixation for Patellar Fractures Using K-Wires Versus Cannulated Screws: A Systematic Review and Meta-Analysis.JB & JS open accessReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo evaluate and compare clinical outcomes, complication rates and time to union in patients with patella fractures treated with cannulated screws (CS), cannulated screws with a tension band wire construct (CSTBW) and tension banding wiring alone (TBW).
methodsA systematic search was conducted for articles in PubMed, Medline, Embase, Cochrane CENTRAL and Cochrane database from inception to March 2024. Data pertaining to range of motion, flexion, patient reported outcome measures (PROMs), complications and time to union were extracted. Meta-analyses were performed. Odds ratios were used for dichotomous variables and the standard mean differences were used for continuous variables
results14 studies were included. 2 compared TBW to CS, 11 TBW to CSTBW and 1 compared all three. Systematic review showed favourable results for CS compared to TBW in the domains of PROMs (measured by VAS and Lysholm Score). Meta-analyses showed favourable outcomes in a range of domains in the CSTBW group over the TBW group. These include: degree of flexion at 3 months (SMD 0.92 95% CI 0.28 to 1.56, p = 0.0048), in VAS at 3 months (SMD - 1.27, 95% CI - 1.73 to - 0.82, p < 0.001) and Lysholm score at 12 months (SMD 0.80, 95% Cl 0.21 to 1.39, p = 0.0082). Complications were observed more frequently in TBW group over the CS and CSTBW groups, leading to more frequent implant removal.
conclusionCannulated screw fixation with or without a tension band system was associated with better clinical outcomes and fewer complications than the traditional TBW technique for fixation of patella fractures.
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Registered trials
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