Skip to main content
Top
Published in: European Journal of Medical Research 1/2023

Open Access 01-12-2023 | Patella Fracture | Research

High return to sports rates after operative treatment of patella fractures

Authors: Sebastian Pesch, Frederik Greve, Michael Zyskowski, Michael Müller, Moritz Crönlein, Peter Biberthaler, Chlodwig Kirchhoff, Markus Wurm

Published in: European Journal of Medical Research | Issue 1/2023

Login to get access

Abstract

Background

Patella fractures are relatively rare fractures and only little is known about the postoperative return to sports after patella fractures.

Methods

This retrospective study presents information on functional outcome after operative treatment of patella fractures as well as time until return to sports and patients’ complaints after open-reduction internal-fixation (ORIF) of patella fractures.

Results

Overall, 39 patients after ORIF of patella fractures were evaluated at our Level-I trauma center with a mean follow-up of 42 months. The mean time until return to sports was 7 ± 3.9 months. No significant difference was found for functional outcome with respect to body mass index (BMI) or age. Fracture consolidation was accomplished after a mean of 6.9 ± 2.9 months besides a relatively low complication rate of 5.1% (n = 2).

Conclusion

The results demonstrate a high return to sports rate of 90.3%. However, only 51.6% were able to perform sports on their pre-injury level or above.
Trial Registration The study was retrospectively registered at DRKS (No: DRKS00031146).
Literature
1.
go back to reference Lotke PA, Ecker ML. Transverse fractures of the patella. Clin Orthop Relat Res. 1981;158:180–4.CrossRef Lotke PA, Ecker ML. Transverse fractures of the patella. Clin Orthop Relat Res. 1981;158:180–4.CrossRef
2.
go back to reference Sayum Filho J, et al. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev. 2021;2:CD009651.PubMed Sayum Filho J, et al. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev. 2021;2:CD009651.PubMed
3.
go back to reference Berninger MT, Frosch K-H. Change in the treatment of patellar fractures. Der Unfallchirurg. 2022;125(7):518–26. Berninger MT, Frosch K-H. Change in the treatment of patellar fractures. Der Unfallchirurg. 2022;125(7):518–26.
4.
go back to reference Raja BS. et al. Plate osteosynthesis in patellar fractures: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2021;1–14. Raja BS. et al. Plate osteosynthesis in patellar fractures: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2021;1–14.
5.
go back to reference Gwinner C, et al. Current concepts review: Fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW. 2016;5:Doc01.PubMedPubMedCentral Gwinner C, et al. Current concepts review: Fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW. 2016;5:Doc01.PubMedPubMedCentral
7.
go back to reference Lazaro LE, et al. Effect of computerized tomography on classification and treatment plan for patellar fractures. J Orthop Trauma. 2013;27(6):336–44.CrossRefPubMed Lazaro LE, et al. Effect of computerized tomography on classification and treatment plan for patellar fractures. J Orthop Trauma. 2013;27(6):336–44.CrossRefPubMed
8.
go back to reference Fehske K, et al. Aktueller Versorgungsstandard von Patellafrakturen in Deutschland. Unfallchirurg. 2021;124(10):832–8.CrossRefPubMed Fehske K, et al. Aktueller Versorgungsstandard von Patellafrakturen in Deutschland. Unfallchirurg. 2021;124(10):832–8.CrossRefPubMed
11.
go back to reference Chloros GD, et al. What’s new in the management of patella fractures? Injury. 2022;53(6):1730–6.CrossRefPubMed Chloros GD, et al. What’s new in the management of patella fractures? Injury. 2022;53(6):1730–6.CrossRefPubMed
12.
go back to reference Lazaro LE, et al. Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. JBJS. 2013;95(14):e96.CrossRef Lazaro LE, et al. Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. JBJS. 2013;95(14):e96.CrossRef
13.
go back to reference LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma. 2012;26(7):422–6.CrossRefPubMed LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma. 2012;26(7):422–6.CrossRefPubMed
14.
go back to reference Greenberg A, et al. Functional outcomes after removal of hardware in patellar fracture: are we helping our patients? Arch Orthop Trauma Surg. 2018;138(3):325–30.CrossRefPubMed Greenberg A, et al. Functional outcomes after removal of hardware in patellar fracture: are we helping our patients? Arch Orthop Trauma Surg. 2018;138(3):325–30.CrossRefPubMed
15.
go back to reference Beirer M, et al. The Munich knee questionnaire: development and validation of a new patient-reported outcome measurement tool for knee disorders. Arthroscopy. 2015;31(8):1522–9.CrossRefPubMed Beirer M, et al. The Munich knee questionnaire: development and validation of a new patient-reported outcome measurement tool for knee disorders. Arthroscopy. 2015;31(8):1522–9.CrossRefPubMed
16.
go back to reference Lampros RE, Wiater AL, Tanaka MJ. Rehabilitation and return to sport after medial patellofemoral complex reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e133–40.CrossRefPubMedPubMedCentral Lampros RE, Wiater AL, Tanaka MJ. Rehabilitation and return to sport after medial patellofemoral complex reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e133–40.CrossRefPubMedPubMedCentral
17.
go back to reference Boublik M, et al. Quadriceps tendon injuries in national football league players. Am J Sports Med. 2013;41(8):1841–6.CrossRefPubMed Boublik M, et al. Quadriceps tendon injuries in national football league players. Am J Sports Med. 2013;41(8):1841–6.CrossRefPubMed
18.
go back to reference Beranger J-S, et al. Return to sport after early surgical repair of acute patellar tendon ruptures. Orthop Traumatol Surg Res. 2020;106(3):503–7.CrossRefPubMed Beranger J-S, et al. Return to sport after early surgical repair of acute patellar tendon ruptures. Orthop Traumatol Surg Res. 2020;106(3):503–7.CrossRefPubMed
19.
go back to reference Haskel JD, et al. High rates of return to play and work follow knee extensor tendon ruptures but low rate of return to pre-injury level of play. Knee Surg Sports Traumatol Arthrosc. 2021;29(8):2695–700.CrossRefPubMed Haskel JD, et al. High rates of return to play and work follow knee extensor tendon ruptures but low rate of return to pre-injury level of play. Knee Surg Sports Traumatol Arthrosc. 2021;29(8):2695–700.CrossRefPubMed
22.
go back to reference Irrgang JJ, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29(5):600–13.CrossRefPubMed Irrgang JJ, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29(5):600–13.CrossRefPubMed
23.
go back to reference Roos EM, et al. Knee injury and osteoarthritis outcome score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88–96.CrossRefPubMed Roos EM, et al. Knee injury and osteoarthritis outcome score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88–96.CrossRefPubMed
24.
go back to reference Kirkley A, Griffin S, Whelan D. The development and validation of a quality of life-measurement tool for patients with meniscal pathology: the western Ontario meniscal evaluation tool (WOMET). Clin J Sport Med. 2007;17(5):349–56.CrossRefPubMed Kirkley A, Griffin S, Whelan D. The development and validation of a quality of life-measurement tool for patients with meniscal pathology: the western Ontario meniscal evaluation tool (WOMET). Clin J Sport Med. 2007;17(5):349–56.CrossRefPubMed
25.
go back to reference Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150–4.CrossRefPubMed Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150–4.CrossRefPubMed
26.
27.
go back to reference Yao C, et al. Clinical outcomes of Ti-Ni shape-memory patella concentrator combined with cannulated compression screws in the treatment of C2 and C3 patella fracture: a retrospective study of 54 cases. BMC Musculoskelet Disord. 2020;21(1):506.CrossRefPubMedPubMedCentral Yao C, et al. Clinical outcomes of Ti-Ni shape-memory patella concentrator combined with cannulated compression screws in the treatment of C2 and C3 patella fracture: a retrospective study of 54 cases. BMC Musculoskelet Disord. 2020;21(1):506.CrossRefPubMedPubMedCentral
28.
go back to reference Moore TB, et al. Fixed angle plate fixation of comminuted patellar fractures. Injury. 2018;49(6):1203–7.CrossRefPubMed Moore TB, et al. Fixed angle plate fixation of comminuted patellar fractures. Injury. 2018;49(6):1203–7.CrossRefPubMed
29.
go back to reference Wurm S, Buhren V, Augat P. Treating patella fractures with a locking patella plate—first clinical results. Injury. 2018;49(Suppl 1):S51–5.CrossRefPubMed Wurm S, Buhren V, Augat P. Treating patella fractures with a locking patella plate—first clinical results. Injury. 2018;49(Suppl 1):S51–5.CrossRefPubMed
30.
go back to reference Buschbeck S, et al. Comminuted AO-C3 fractures of the patella: good outcome using anatomically contoured locking plate fixation. Int Orthop. 2022;46(6):1395–403.CrossRefPubMed Buschbeck S, et al. Comminuted AO-C3 fractures of the patella: good outcome using anatomically contoured locking plate fixation. Int Orthop. 2022;46(6):1395–403.CrossRefPubMed
31.
go back to reference Smith ST, et al. Early complications in the operative treatment of patella fractures. J Orthop Trauma. 1997;11(3):183–7.CrossRefPubMed Smith ST, et al. Early complications in the operative treatment of patella fractures. J Orthop Trauma. 1997;11(3):183–7.CrossRefPubMed
32.
go back to reference Wild M, et al. Treating patella fractures with a fixed-angle patella plate-A prospective observational study. Injury. 2016;47(8):1737–43.CrossRefPubMed Wild M, et al. Treating patella fractures with a fixed-angle patella plate-A prospective observational study. Injury. 2016;47(8):1737–43.CrossRefPubMed
33.
go back to reference Singh S, et al. Outcome analysis of fixed angle locking plate in patella fractures: a single centre experience from north India. Indian J Orthop. 2021;55(3):655–61.CrossRefPubMed Singh S, et al. Outcome analysis of fixed angle locking plate in patella fractures: a single centre experience from north India. Indian J Orthop. 2021;55(3):655–61.CrossRefPubMed
34.
go back to reference Ellwein A, et al. Outcomes after locked plating of displaced patella fractures: a prospective case series. Int Orthop. 2019;43(12):2807–15.CrossRefPubMed Ellwein A, et al. Outcomes after locked plating of displaced patella fractures: a prospective case series. Int Orthop. 2019;43(12):2807–15.CrossRefPubMed
35.
go back to reference Tengler MB, et al. Anterior locking plate osteosynthesis of patellar factures—analysis of complications and functional outcome. Z Orthop Unfall. 2022;160(05):549–58.CrossRefPubMed Tengler MB, et al. Anterior locking plate osteosynthesis of patellar factures—analysis of complications and functional outcome. Z Orthop Unfall. 2022;160(05):549–58.CrossRefPubMed
Metadata
Title
High return to sports rates after operative treatment of patella fractures
Authors
Sebastian Pesch
Frederik Greve
Michael Zyskowski
Michael Müller
Moritz Crönlein
Peter Biberthaler
Chlodwig Kirchhoff
Markus Wurm
Publication date
01-12-2023
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2023
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-023-01359-1

Other articles of this Issue 1/2023

European Journal of Medical Research 1/2023 Go to the issue