ArticleJournal of orthopaedic case reports2026
A Prospective Study of Comminuted Patellar Fractures Treated with Different Fixation Modalities: Functional Outcomes and Complications.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Combined Cerclage and Figure-of-eight Tension-band Wiring without K-wire Versus K-wire Tension Band Wiring Fixation for Transverse Patellar Fractures: A Prospective Comparative Study.Journal of orthopaedic case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Comminuted patellar fractures constitute approximately 55% of all operatively managed patellar fractures and pose a persistent challenge for orthopedic surgeons. Comparative functional outcome data from India, particularly from central India, remain sparse. Objectives: The objective of the study was to evaluate and compare the functional outcomes of tension band wiring (TBW), modified TBW (MTBW), cannulated screw TBW, and modified cerclage wiring (MCW) in the surgical management of comminuted patellar fractures. Materials and Methods: This prospective observational study enrolled 63 cases of comminuted patellar fractures at Government Bundelkhand Medical College, Sagar, Madhya Pradesh, from August 2022 to April 2024. Of these, 46 underwent surgical management. Functional outcomes were assessed using the Böstman clinical grading score at 1, 3, 6, and 12 weeks post-operatively. Fisher's exact test was applied for intergroup comparisons (significance threshold: P < 0.05). Results: Mean patient age was 42.2 ± 15.4 years; 76.1% were male. Road traffic accidents were the predominant injury mechanism (69.6%). TBW was the most frequently performed procedure (43.5%). At 12 weeks, 39.1% achieved excellent and 47.9% achieved good Böstman scores. MTBW yielded the highest proportion of excellent results (56.3%). Complications occurred in 15.2% of cases, predominantly in the TBW group. No statistically significant differences were observed across modalities (P = 0.443). Conclusion: All four modalities yielded satisfactory outcomes in comminuted patellar fractures. MTBW demonstrated numerically superior excellent outcomes; MCW showed the lowest complication rate. Fixation choice should be individualized to fracture morphology and surgeon expertise.
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.