ArticleCureus2025
Influence of Weight-Bearing Status After Tension Band Wiring of Patellar Fractures in Elderly Patients.
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
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Patellar fractures can severely affect mobility in the elderly, particularly due to compromised bone quality. Tension band wiring (TBW) is commonly used to repair displaced transverse fractures and permits early mobilization; however, the optimal timing for weight-bearing in elderly patients has not been clearly established. This study evaluated the outcomes of immediate versus delayed weight-bearing following TBW. Methods A retrospective cohort study was conducted involving elderly patients (≥60 years) from two hospitals in London. Patients were categorized into immediate (Day 0 post-op, n = 14) and delayed (>Day 0 post-op, n = 10) weight-bearing groups. Primary outcomes included knee range of motion (ROM), degree of extensor lag, reoperation rate, and time to union. Secondary outcomes included loss of fixation, implant failure, time to initiate knee flexion, and adherence to the rehabilitation protocol. Results Overall, patients in the immediate weight-bearing (IWB) group achieved union faster (8.4 weeks versus 13.7 weeks; p = 0.01), experienced less loss of reduction (n = 0, 0% versus n = 3, 30%; p = 0.03), had greater knee ROM (120.5° versus 101.3°; p = 0.02), and initiated knee flexion sooner (6.0 weeks versus 7.2 weeks; p < 0.001). There were no statistically significant differences between groups in extensor lag, need for reoperation, implant failure, or adherence to rehabilitation. Conclusions IWB after TBW of patellar fractures in elderly patients promotes fracture healing, knee function, and stability compared to traditional non-weight-bearing protocols and does not increase complication rates, supporting early mobilization strategies. Multicenter prospective studies with standardized fracture patterns are required to confirm these findings.
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.