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Published in: European Journal of Orthopaedic Surgery & Traumatology 1/2019

01-01-2019 | Original Article • KNEE - FRACTURES

Five-pointed star lattice sutures for fixation of patella transverse fractures: a clinical study

Authors: Xiaozheng Tang, Yayun Liu, Hongyan Wu, Feipeng Gong, Yuxu Li, Hong Zeng, Baofu Yu

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2019

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Abstract

Introduction

Fixation of displaced patella fractures with metal implants may be associated with implant failure, post-operative pain, and high re-operation rate. This study reports preliminary clinical results of using five-pointed star lattice sutures for the management of patella transverse fractures.

Methods

A five-pointed star lattice suture configuration was produced intraoperatively, and 25 patients with patella transverse fractures were treated with this newly designed sutures fixation. All patients were followed up until union of the fractures or until further surgical intervention. At a mean of 1.6 years (range 0.8–2.5 years) of follow-up, the notes and plain radiographs of the 25 patients were reviewed. Bostman score was used to evaluate the therapeutic effects.

Results

All 25 patients experienced union of the patella fractures, with excellent knee function in 19 patients and good in 6 patients evaluated with Bostman score.

Conclusion

The newly designed five-pointed star lattice sutures fixation may be a feasible alternative to metal implants fixation in the management of patella transverse fracture.

Level of evidence

Level IV case series.
Literature
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go back to reference Wright PB, Kosmopoulos V, Coté RE, Tayag TJ, Nana AD (2009) FiberWire is superior in strength to stainless steel wire for tension band fixation of transverse patellar fractures. Injury 40:1200–1203CrossRefPubMed Wright PB, Kosmopoulos V, Coté RE, Tayag TJ, Nana AD (2009) FiberWire is superior in strength to stainless steel wire for tension band fixation of transverse patellar fractures. Injury 40:1200–1203CrossRefPubMed
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go back to reference Patel VR, Parks BG, Wang Y, Ebert FR, Jinnah RH (2000) Fixation of patella fractures with braided polyester suture: a biomechanical study. Injury 31(1):1–6CrossRefPubMed Patel VR, Parks BG, Wang Y, Ebert FR, Jinnah RH (2000) Fixation of patella fractures with braided polyester suture: a biomechanical study. Injury 31(1):1–6CrossRefPubMed
Metadata
Title
Five-pointed star lattice sutures for fixation of patella transverse fractures: a clinical study
Authors
Xiaozheng Tang
Yayun Liu
Hongyan Wu
Feipeng Gong
Yuxu Li
Hong Zeng
Baofu Yu
Publication date
01-01-2019
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-018-2272-1

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