Clinical study of three-dimensional strapping reduction in treatment of patellar fracture_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIANG Wei , ZHANG Xuan , LIN Bowen , LI Weifan , HU Xinjia , CHENG Jiwu , XU Zhongshi ,  ZHANG Xiaoming

Department of Bone and Joint, Shenzhen People’s Hospital, Second Clinical Medical College of Jinan University, Shenzhen Guangdong, 518020, P.R.China;

Corresponding author：

ZHANG Xiaoming, Email: docjw@sina.com

Keywords：

Patellar fracture; three-dimensional strapping; towel clamp reduction; reduction technology

DOI：

10.7507/1002-1892.201703054

Video：

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Objective To investigate the effectiveness of three-dimensional strapping reduction in treatment of patellar fracture. Methods Between January 2015 and June 2015, thirty-two patients were randomly allocated to three-dimensional strapping reduction group (trial group) and towel clamp reduction group (control group). There was no significant difference in age, gender, damage side, interval from injury to opreration, fracture pattern, and cause of injury (P>0.05). The operation time, fluoroscopy time, fracture healing time, postoperative Hospital for Special Surgery (HSS) scores, and complications were collected and analysed. Results All incisions healed at stage I. All patients of 2 groups were followed up 10-14 months (mean, 12.4 months). The operation time and fluoroscopy time of trial group were both shorter than those of control group (t=6.212, P=0.000; t=6.585, P=0.000). X-ray films showed that the fractures in both groups healed successfully and there was no significant difference in healing time between groups (t=1.973, P=0.058). Bone nonunion, infection, and failure fixation were not found in both groups. HSS scores of trial group (91.6±3.8) was higher than that of control group (86.4±5.5) (t=–3.105, P=0.004). Conclusion Compared with towel clamp reduction, the three-dimensional strapping reduction in treatment of patellar fracture has the advantages of shorter operation time and fluoroscopy time, better knee function after operation, and satisfactory fracture healing.

Citation： JIANG Wei, ZHANG Xuan, LIN Bowen, LI Weifan, HU Xinjia, CHENG Jiwu, XU Zhongshi, ZHANG Xiaoming. Clinical study of three-dimensional strapping reduction in treatment of patellar fracture. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(8): 926-930. doi: 10.7507/1002-1892.201703054 Copy

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8.	Kadar A, Sherman H, Glazer Y, et al. Predictors for nonunion, reoperation and infection after surgical fixation of patellar fracture. J Orthop Sci, 2015, 20(1): 168-173.
9.	LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma, 2012, 26(7): 422-426.
10.	Jarraya M, Diaz LE, Arndt WF, et al. Imaging of patellar fractures. Insights Imaging, 2017, 8(1): 49-57.
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13.	Xue Z, Qin H, Ding HL, et al. Two-Tension-Band Technique in Revision Surgery for Fixation Failure of Patellar Fractures. Med Sci Monit, 2016, 22: 2736-2741.
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15.	Camarda L, Morello S, Balistreri F, et al. Non-metallic implant for patellar fracture fixation: A systematic review. Injury, 2016, 47(8): 1613-1617.
16.	Camarda L, La Gattuta A, Butera M, et al. FiberWire tension band for patellar fractures. J Orthop Traumatol, 2016, 17(1): 75-80.
17.	Tan H, Dai P, Yuan Y. Clinical results of treatment using a modified K-wire tension band versus a cannulated screw tension band in transverse patella fractures: A strobe-compliant retrospective observational study. Medicine (Baltimore), 2016, 95(40): e4992.
18.	Lin T, Liu J, Xiao B, et al. Comparison of the outcomes of cannulated screws vs. modified tension band wiring fixation techniques in the management of mildly displaced patellar fractures. BMC Musculoskelet Disord, 2015, 16: 282.
19.	Khan I, Dar MY, Rashid S, et al. Internal Fixation of Transverse Patella Fractures Using Cannulated Cancellous Screws with Anterior Tension Band Wiring. Malays Orthop J, 2016, 10(2): 21-26.
20.	Gittings D, Hesketh P, Dattilo J, et al. Arthroscopic lysis of adhesions improves knee range of motion after fixation of intra-articular fractures about the knee. Arch Orthop Trauma Surg, 2016, 136(12): 1631-1635.
21.	Karakasli A, Acar N, Ertem F, et al. A novel anatomical patellar plate for transverse patellar fracture-A biomechanical in-vitro study. Acta Orthop Traumatol Turc, 2017. [Epub ahead of print].
22.	Sa-Ngasoongsong P, Chulsomlee K, Wongsak S, et al. The Use of Dual Reconstruction Plates for Failed Fixation of Patellar Fracture after Total Knee Replacement: A Case Report. Malays Orthop J, 2016, 10(3): 52-55.
23.	Singer MS, Halawa AM, Adawy A. Outcome of low profile mesh plate in management of comminuted displaced fracture patella. Injury, 2017, 48(6): 1229-1235.
24.	Volgas D, Dreger TK. The Use of Mesh Plates for Difficult Fractures of the Patella. J Knee Surg, 2017, 30(3): 200-203.
25.	Lorich DG, Fabricant PD, Sauro G, et al. Superior Outcomes After Operative Fixation of Patella Fractures Using a Novel Plating Technique: A Prospective Cohort Study. J Orthop Trauma, 2017, 31(5): 241-247.
26.	Kyung MG, Lee SH, Kim MB. Complications Related to Implant Fixation of Patellar Fractures: Comparison of Ring Pins versus Bent K-Wires. J Knee Surg, 2016. [Epub ahead of print].

1. Bartoníček J, Rammelt S. Early history of operative treatment of patellar fractures. Int Orthop, 2015, 39(11): 2303-2308.
2. Larsen P, Court-Brown CM, Vedel JO, et al. Incidence and Epidemiology of Patellar Fractures. Orthopedics, 2016, 39(6): e1154-e1158.
3. Neumann MV, Niemeyer P, Südkamp NP, et al. Patellar fractures——a review of classification, genesis and evaluation of treatment. Acta Chir Orthop Traumatol Cech, 2014, 81(5): 303-312.
4. Gwinner C, Märdian S, Schwabe P, et al. Current concepts review: Fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW, 2016. doi: 10.3205/iprs000080.
5. Kakazu R, Archdeacon MT. Surgical Management of Patellar Fractures. Orthop Clin North Am, 2016, 47(1): 77-83.
6. Schuett DJ, Hake ME, Mauffrey C, et al. Current Treatment Strategies for Patella Fractures. Orthopedics, 2015, 38(6): 377-384.
7. Sayum Filho J, Lenza M, Teixeira de Carvalho R, et al. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev, 2015, (2): CD009651.
8. Kadar A, Sherman H, Glazer Y, et al. Predictors for nonunion, reoperation and infection after surgical fixation of patellar fracture. J Orthop Sci, 2015, 20(1): 168-173.
9. LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma, 2012, 26(7): 422-426.
10. Jarraya M, Diaz LE, Arndt WF, et al. Imaging of patellar fractures. Insights Imaging, 2017, 8(1): 49-57.
11. Hambright DS, Walley KC, Hall A, et al. Revisiting Tension Band Fixation for Difficult Patellar Fractures. J Orthop Trauma, 2017, 31(2): e66-e72.
12. Ali M, Kuiper J, John J. Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella. Chin J Traumatol, 2016, 19(5): 255-258.
13. Xue Z, Qin H, Ding HL, et al. Two-Tension-Band Technique in Revision Surgery for Fixation Failure of Patellar Fractures. Med Sci Monit, 2016, 22: 2736-2741.
14. Zderic I, Stoffel K, Sommer C, et al. Biomechanical evaluation of the tension band wiring principle. A comparison between two different techniques for transverse patella fracture fixation. Injury, 2017. [Epub ahead of print].
15. Camarda L, Morello S, Balistreri F, et al. Non-metallic implant for patellar fracture fixation: A systematic review. Injury, 2016, 47(8): 1613-1617.
16. Camarda L, La Gattuta A, Butera M, et al. FiberWire tension band for patellar fractures. J Orthop Traumatol, 2016, 17(1): 75-80.
17. Tan H, Dai P, Yuan Y. Clinical results of treatment using a modified K-wire tension band versus a cannulated screw tension band in transverse patella fractures: A strobe-compliant retrospective observational study. Medicine (Baltimore), 2016, 95(40): e4992.
18. Lin T, Liu J, Xiao B, et al. Comparison of the outcomes of cannulated screws vs. modified tension band wiring fixation techniques in the management of mildly displaced patellar fractures. BMC Musculoskelet Disord, 2015, 16: 282.
19. Khan I, Dar MY, Rashid S, et al. Internal Fixation of Transverse Patella Fractures Using Cannulated Cancellous Screws with Anterior Tension Band Wiring. Malays Orthop J, 2016, 10(2): 21-26.
20. Gittings D, Hesketh P, Dattilo J, et al. Arthroscopic lysis of adhesions improves knee range of motion after fixation of intra-articular fractures about the knee. Arch Orthop Trauma Surg, 2016, 136(12): 1631-1635.
21. Karakasli A, Acar N, Ertem F, et al. A novel anatomical patellar plate for transverse patellar fracture-A biomechanical in-vitro study. Acta Orthop Traumatol Turc, 2017. [Epub ahead of print].
22. Sa-Ngasoongsong P, Chulsomlee K, Wongsak S, et al. The Use of Dual Reconstruction Plates for Failed Fixation of Patellar Fracture after Total Knee Replacement: A Case Report. Malays Orthop J, 2016, 10(3): 52-55.
23. Singer MS, Halawa AM, Adawy A. Outcome of low profile mesh plate in management of comminuted displaced fracture patella. Injury, 2017, 48(6): 1229-1235.
24. Volgas D, Dreger TK. The Use of Mesh Plates for Difficult Fractures of the Patella. J Knee Surg, 2017, 30(3): 200-203.
25. Lorich DG, Fabricant PD, Sauro G, et al. Superior Outcomes After Operative Fixation of Patella Fractures Using a Novel Plating Technique: A Prospective Cohort Study. J Orthop Trauma, 2017, 31(5): 241-247.
26. Kyung MG, Lee SH, Kim MB. Complications Related to Implant Fixation of Patellar Fractures: Comparison of Ring Pins versus Bent K-Wires. J Knee Surg, 2016. [Epub ahead of print].

Chinese Journal of Reparative and Reconstructive Surgery

Clinical study of three-dimensional strapping reduction in treatment of patellar fracture

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