Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year. Issue 1 (January 2021)
- Record Type:
- Journal Article
- Title:
- Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year. Issue 1 (January 2021)
- Main Title:
- Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year
- Authors:
- Shymon, Stephen J.
Jansson, Hayley
Schneiderman, Brian A.
Nazareth, Alexander
Hoshino, Christopher Max
Zinar, Daniel M.
Gold, Stuart M. - Abstract:
- Abstract : Objectives: To evaluate the functional outcomes of patients with displaced patellar fractures treated with anterior plate constructs. Design: Prospective cohort and retrospective clinical and radiographic assessment. Setting: Level I Trauma Center. Patients/Participants: Between 2014 and 2018, 18 patients who underwent operative intervention for an isolated, displaced patella fracture (OTA/AO 34C1-3) with a minimum of 1-year follow-up agreed to participate in the study. The mean follow-up was 19.5 ± 6.0 months. Intervention: Patients were treated with 2.4 or 2.7-mm plates and supplemental screws or cerclage wires. Main Outcome Measurements: Patients were evaluated with the Short Form-36 Survey and the Knee Injury and Osteoarthritis Outcome Scores and asked about symptomatic implants. The range of motion was assessed by goniometer. Results: The cohort had no wound complications, infections, nonunion, loss of reduction, or implant failure. Active knee flexion was 131 ± 7 degrees. Five patients (28%) endorsed implant irritation. Only one patient (5.5%) underwent implant removal, which consisted of transverse screw removal alone. Twelve of the 14 patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All Knee Injury and Osteoarthritis Outcome Scores subscale scores and the Short Form-36 Survey scores for physical functioning, limitations due to physical health, limitations due to mental health, and social functioning were significantly lowerAbstract : Objectives: To evaluate the functional outcomes of patients with displaced patellar fractures treated with anterior plate constructs. Design: Prospective cohort and retrospective clinical and radiographic assessment. Setting: Level I Trauma Center. Patients/Participants: Between 2014 and 2018, 18 patients who underwent operative intervention for an isolated, displaced patella fracture (OTA/AO 34C1-3) with a minimum of 1-year follow-up agreed to participate in the study. The mean follow-up was 19.5 ± 6.0 months. Intervention: Patients were treated with 2.4 or 2.7-mm plates and supplemental screws or cerclage wires. Main Outcome Measurements: Patients were evaluated with the Short Form-36 Survey and the Knee Injury and Osteoarthritis Outcome Scores and asked about symptomatic implants. The range of motion was assessed by goniometer. Results: The cohort had no wound complications, infections, nonunion, loss of reduction, or implant failure. Active knee flexion was 131 ± 7 degrees. Five patients (28%) endorsed implant irritation. Only one patient (5.5%) underwent implant removal, which consisted of transverse screw removal alone. Twelve of the 14 patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All Knee Injury and Osteoarthritis Outcome Scores subscale scores and the Short Form-36 Survey scores for physical functioning, limitations due to physical health, limitations due to mental health, and social functioning were significantly lower than reference population norms ( P < 0.05). Conclusions: Anterior plating provides reliable fixation for displaced patellar fractures and results in a low incidence of implant irritation. However, patients who had anterior fixation for displaced patella fractures continue to exhibit functional deficits at 1-year postoperatively. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Abstract : Supplemental Digital Content is Available in the Text. … (more)
- Is Part Of:
- Journal of orthopaedic trauma. Volume 35:Issue 1(2021)
- Journal:
- Journal of orthopaedic trauma
- Issue:
- Volume 35:Issue 1(2021)
- Issue Display:
- Volume 35, Issue 1 (2021)
- Year:
- 2021
- Volume:
- 35
- Issue:
- 1
- Issue Sort Value:
- 2021-0035-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-01
- Subjects:
- patella fractures -- anterior plate -- SF-36 -- KOOS -- outcomes
Orthopedics -- Periodicals
Wounds and injuries -- Periodicals
Orthopedics -- Periodicals
Wounds and Injuries -- therapy -- Periodicals
Periodicals
617.47044 - Journal URLs:
- http://journals.lww.com/jorthotrauma/pages/default.aspx ↗
http://www.jorthotrauma.com ↗
http://cufts2.lib.sfu.ca/CJDB/BVAS/journal/149202 ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00005131-000000000-00000 ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/BOT.0000000000001868 ↗
- Languages:
- English
- ISSNs:
- 0890-5339
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5027.675000
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