BACKGROUND: Although tension-band wiring is the most widely used technique to fix patellar fractures, metal implant-related complications including implant failure and postoperative pain are very common and additional procedures are often necessary to treat the complications. The purpose of this study is to evaluate a totally metal-free technique using a transosseous suturing method and to compare it with the traditional fixation technique. METHOD: A total of 25 patients (mean age of 59.60 years) with displaced patellar fractures treated by a transosseous suturing technique were compared with a 1:1 matched historical control group that underwent modified tension-band-wire fixation. Union time, union rate, operation time, number of procedures, mean hospitalisation days and complications were compared between cases and controls. RESULTS: Union time (8.43 ± 2.92 vs. 8.64 ± 2.82 weeks) and operation time (69.00 ± 19.31 vs. 64.89 ± 14.27 min) were not different between the two groups. Mean hospitalisation days (4.04 ± 1.40 vs. 5.76 ± 1.50 days; P<0.001), number of procedures and the frequency of complications were significantly lower in the transosseous suturing group. CONCLUSION: The transosseous suturing technique is safe and effective in the transverse or comminuted fractures of the patella. The complication rate is significantly lower than with the tension-band-wiring technique.
BACKGROUND: Although tension-band wiring is the most widely used technique to fix patellar fractures, metal implant-related complications including implant failure and postoperative pain are very common and additional procedures are often necessary to treat the complications. The purpose of this study is to evaluate a totally metal-free technique using a transosseous suturing method and to compare it with the traditional fixation technique. METHOD: A total of 25 patients (mean age of 59.60 years) with displaced patellar fractures treated by a transosseous suturing technique were compared with a 1:1 matched historical control group that underwent modified tension-band-wire fixation. Union time, union rate, operation time, number of procedures, mean hospitalisation days and complications were compared between cases and controls. RESULTS: Union time (8.43 ± 2.92 vs. 8.64 ± 2.82 weeks) and operation time (69.00 ± 19.31 vs. 64.89 ± 14.27 min) were not different between the two groups. Mean hospitalisation days (4.04 ± 1.40 vs. 5.76 ± 1.50 days; P<0.001), number of procedures and the frequency of complications were significantly lower in the transosseous suturing group. CONCLUSION: The transosseous suturing technique is safe and effective in the transverse or comminuted fractures of the patella. The complication rate is significantly lower than with the tension-band-wiring technique.
Authors: Edoardo Monaco; Giorgio Bruni; Matt Daggett; Adnan Saithna; Silvia Cardarelli; Lorenzo Proietti; Andrea Ferretti Journal: Arthrosc Tech Date: 2020-06-15
Authors: Bing Howe Lee; Michael Shen Xuanrong; Colin Wang Tzong-Yee; Yilun Huang; Keng Lin Francis Wong; Heng-An Lin; Merng-Koon Wong; Hamid Rahmatullah Bin Abd Razak Journal: Cureus Date: 2021-12-15