ArticleCureus2025
Tension Band Fixation for Displaced Transverse Patella Fractures Using Cannulated Cancellous Screws Versus Kirschner Wires: A Six-Month Prospective Randomized Controlled Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal fixation method for displaced transverse patella fractures remains debated. While Kirschner wire (K-wire) tension band wiring is traditional, cannulated cancellous screws (CCS) may offer superior biomechanical stability and clinical outcomes. This study compared functional and radiological outcomes of these techniques over six months.
methodsWe conducted a prospective, single-center, parallel-group randomized controlled trial following the Consolidated Standards of Reporting Trials (CONSORT) Outcomes 2022 guidelines. Forty patients with displaced transverse patella fractures (Association for the Study of Osteosynthesis (AO)/Orthopaedic Trauma Association (OTA) 34-C1) were randomly allocated to receive tension band wiring with either K-wires (n=20) or 4.0 mm CCS (n=20). The primary outcome was the Bostman score at six months. Secondary outcomes included the Visual Analog Scale (VAS) for pain, range of motion (ROM), radiological union, and complications.
resultsAt six months, the CCS group demonstrated significantly superior Bostman scores (28.40 ± 2.65 vs 27.50 ± 3.15, p=0.032). The CCS group showed significantly lower VAS scores at all early time points and a better ROM (140° vs. 130°, p=0.015). Hardware-related complications were significantly lower in the CCS group (10% vs 50%, p=0.008), with reduced hardware removal requirements (5% vs. 30%, p=0.047). Return to pre-injury activity was higher in the CCS group (85% vs. 65%, p=0.021).
conclusionAt six months, the CCS group achieved statistically higher but clinically marginal functional scores compared to K-wires, while also resulting in significantly less pain and far fewer hardware-related issues. This suggests that CCS fixation provides similar knee function, with added benefits of improved patient comfort, early rehabilitation, and a lower risk of complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.