Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year
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/ParticipantsBetween 2014 and 2018, eighteen pa...
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| Veröffentlicht in: | Journal of orthopaedic trauma 2021-01, Vol.35 (1), p.e1-e6 |
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| creator | Shymon, Stephen J. Jansson, Hayley Schneiderman, Brian A. Nazareth, Alexander Hoshino, Christopher Max Zinar, Daniel M. Gold, Stuart M. |
| description | 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/ParticipantsBetween 2014 and 2018, eighteen patients who underwent operative intervention for an isolated, displaced patella fracture (AO/OTA 34 C1-3) with a minimum of 1-year follow-up agreed to participate in the study. Mean follow-up was 19.5 ± 6.0 months.
INTERVENTION:Patients were treated with 2.4 or 2.7-mm plates as well as supplemental screws or cerclage wires.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated with the SF-36 and the Knee Injury and Osteoarthritis Outcome Scores (KOOS) and asked about symptomatic hardware. 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°. Five patients (28 %) endorsed implant irritation. Only one patient (5.5 %) underwent implant removal, which consisted of transverse screw removal only. Twelve of the fourteen patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All KOOS subscale scores and the SF-36 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 one year post-operatively.
LEVEL OF EVIDENCE:Therapeutic Level IV |
| doi_str_mv | 10.1097/BOT.0000000000001868 |
| format | Article |
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DESIGN:Prospective cohort and retrospective clinical and radiographic assessment.
SETTING:Level I Trauma Center.Patients/ParticipantsBetween 2014 and 2018, eighteen patients who underwent operative intervention for an isolated, displaced patella fracture (AO/OTA 34 C1-3) with a minimum of 1-year follow-up agreed to participate in the study. Mean follow-up was 19.5 ± 6.0 months.
INTERVENTION:Patients were treated with 2.4 or 2.7-mm plates as well as supplemental screws or cerclage wires.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated with the SF-36 and the Knee Injury and Osteoarthritis Outcome Scores (KOOS) and asked about symptomatic hardware. 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°. Five patients (28 %) endorsed implant irritation. Only one patient (5.5 %) underwent implant removal, which consisted of transverse screw removal only. Twelve of the fourteen patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All KOOS subscale scores and the SF-36 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 one year post-operatively.
LEVEL OF EVIDENCE:Therapeutic Level IV</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/BOT.0000000000001868</identifier><identifier>PMID: 33079836</identifier><language>eng</language><publisher>United States: Journal of Orthopaedic Trauma</publisher><ispartof>Journal of orthopaedic trauma, 2021-01, Vol.35 (1), p.e1-e6</ispartof><rights>Journal of Orthopaedic Trauma</rights><rights>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3648-c1c17d7558eaf1df214e9a3e92fc4e0985d33b8b1112165f8b669b9a96863aef3</citedby><cites>FETCH-LOGICAL-c3648-c1c17d7558eaf1df214e9a3e92fc4e0985d33b8b1112165f8b669b9a96863aef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33079836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shymon, Stephen J.</creatorcontrib><creatorcontrib>Jansson, Hayley</creatorcontrib><creatorcontrib>Schneiderman, Brian A.</creatorcontrib><creatorcontrib>Nazareth, Alexander</creatorcontrib><creatorcontrib>Hoshino, Christopher Max</creatorcontrib><creatorcontrib>Zinar, Daniel M.</creatorcontrib><creatorcontrib>Gold, Stuart M.</creatorcontrib><title>Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>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/ParticipantsBetween 2014 and 2018, eighteen patients who underwent operative intervention for an isolated, displaced patella fracture (AO/OTA 34 C1-3) with a minimum of 1-year follow-up agreed to participate in the study. Mean follow-up was 19.5 ± 6.0 months.
INTERVENTION:Patients were treated with 2.4 or 2.7-mm plates as well as supplemental screws or cerclage wires.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated with the SF-36 and the Knee Injury and Osteoarthritis Outcome Scores (KOOS) and asked about symptomatic hardware. 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°. Five patients (28 %) endorsed implant irritation. Only one patient (5.5 %) underwent implant removal, which consisted of transverse screw removal only. Twelve of the fourteen patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All KOOS subscale scores and the SF-36 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 one year post-operatively.
LEVEL OF EVIDENCE:Therapeutic Level IV</description><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkU1L5TAUhsOg6B3HfyCSpZtqTtKPZKnidQShLu4wzCqk6Sm32ttokiL-e1OuI-JCswl5ed4T8oSQI2CnwFR1dlGvTtmHBbKUP8gCCgEZ5wp2yIJJxbJCCLVPfoZwnyDJON8j-0KwSklRLoheTqONvRvNQOspWrfBQF1H70zEYTB06Y2Nk0_hymPKWvq3j2t6Pkb0vfP0bkghrUNEF17GuMbQB2oirUek_9D4X2S3M0PAw7f9gPxZXq0uf2e39fXN5fltZkWZy8yChaqtikKi6aDtOOSojEDFO5sjU7JohWhkAwAcyqKTTVmqRhlVylIY7MQBOdnOffTuacIQ9aYPdn7CiG4KmucFV5UUqkpovkWtdyF47PSj7zfGv2hgelark1r9WW2qHb_dMDUbbN9L_10mQG6BZzckO-FhmJ7R6zWaIa6_m51_UZ2xAuZvZRwYpFM2F0G8AnrZlPY</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Shymon, Stephen J.</creator><creator>Jansson, Hayley</creator><creator>Schneiderman, Brian A.</creator><creator>Nazareth, Alexander</creator><creator>Hoshino, Christopher Max</creator><creator>Zinar, Daniel M.</creator><creator>Gold, Stuart M.</creator><general>Journal of Orthopaedic Trauma</general><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210101</creationdate><title>Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year</title><author>Shymon, Stephen J. ; Jansson, Hayley ; Schneiderman, Brian A. ; Nazareth, Alexander ; Hoshino, Christopher Max ; Zinar, Daniel M. ; Gold, Stuart M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3648-c1c17d7558eaf1df214e9a3e92fc4e0985d33b8b1112165f8b669b9a96863aef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shymon, Stephen J.</creatorcontrib><creatorcontrib>Jansson, Hayley</creatorcontrib><creatorcontrib>Schneiderman, Brian A.</creatorcontrib><creatorcontrib>Nazareth, Alexander</creatorcontrib><creatorcontrib>Hoshino, Christopher Max</creatorcontrib><creatorcontrib>Zinar, Daniel M.</creatorcontrib><creatorcontrib>Gold, Stuart M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shymon, Stephen J.</au><au>Jansson, Hayley</au><au>Schneiderman, Brian A.</au><au>Nazareth, Alexander</au><au>Hoshino, Christopher Max</au><au>Zinar, Daniel M.</au><au>Gold, Stuart M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>35</volume><issue>1</issue><spage>e1</spage><epage>e6</epage><pages>e1-e6</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><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/ParticipantsBetween 2014 and 2018, eighteen patients who underwent operative intervention for an isolated, displaced patella fracture (AO/OTA 34 C1-3) with a minimum of 1-year follow-up agreed to participate in the study. Mean follow-up was 19.5 ± 6.0 months.
INTERVENTION:Patients were treated with 2.4 or 2.7-mm plates as well as supplemental screws or cerclage wires.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated with the SF-36 and the Knee Injury and Osteoarthritis Outcome Scores (KOOS) and asked about symptomatic hardware. 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°. Five patients (28 %) endorsed implant irritation. Only one patient (5.5 %) underwent implant removal, which consisted of transverse screw removal only. Twelve of the fourteen patients (86%), who were previously employed, returned to work at 10 ± 7 weeks. All KOOS subscale scores and the SF-36 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 one year post-operatively.
LEVEL OF EVIDENCE:Therapeutic Level IV</abstract><cop>United States</cop><pub>Journal of Orthopaedic Trauma</pub><pmid>33079836</pmid><doi>10.1097/BOT.0000000000001868</doi></addata></record> |
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| title | Functional Outcomes of Patella Fractures Treated With Anterior Plate Osteosynthesis at One Year |
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