Transosseous Suture With an All-FiberWire Technique in Patellar Fracture Fixation

IF 0.2 Q4 ORTHOPEDICS
Ponrachai Wongthongsalee, Thanapon Chobpenthai
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引用次数: 1

Abstract

Background: Patellar fractures account for 0.5% to 1.5% of all bone fractures. Tension band wiring with heavy gauge steel wire and K-wires is traditionally procedure for treating patellar fractures. However, this method is associated with implant-related complications. Present study aimed to evaluate functional clinical outcomes of patellar fracture fixation with transosseous suture using an all-FiberWire technique. Methods: This was a retrospective study involving 16 patellar fractures patients were repaired by open reduction and internal fixation with FiberWire using a 3-transosseous tunnel technique. The functional outcomes were evaluated with Tegner-Lysholm and Bostman scoring. We also evaluated clinical and radiologic outcomes. Results: The mean time to bony union was 8.87±1.54 weeks (range, 7 to 12 wk). The mean Bostman score at final follow-up was 27.13±2.5 (range, 21 to 30), and mean Lysholm score at final follow-up was 90.69±5.75 (range, 83 to 100). Fractures healed in all patients, with no fixation failures. Minor loss of reduction (<2 mm) were observed in 3 patients (18.75%). No patient has reoperation. One patient developed knee stiffness, with an infected hematoma 10 weeks postoperatively. None of patients developed anterior knee pain postoperatively. Two patients (12.5%) developed mild localized pain from prominent suture knots. There were no significant implant-related complications and no repeat surgery was necessary. Conclusions: The use of nonmetallic sutures with an all-FiberWire technique in patellar fracture fixation avoids implant-associated complications and possibility of a second surgery to remove metal implants. Nonmetallic high-resistance FiberWire matches traditional metallic fixation, with a reduced risk of postoperative complications. Level of Evidence: Level IV (therapeutic).
全纤维丝经骨缝合在髌骨骨折固定中的应用
背景:髌骨骨折占所有骨折的0.5% ~ 1.5%。用大规格钢丝和k形钢丝张力带钢丝是治疗髌骨骨折的传统方法。然而,这种方法与种植体相关的并发症有关。本研究旨在评估全纤维丝技术经骨缝合固定髌骨骨折的功能临床结果。方法:回顾性研究16例髌骨骨折患者,采用3-经骨隧道技术,采用纤维丝切开复位内固定修复。功能结果采用Tegner-Lysholm和Bostman评分进行评估。我们还评估了临床和放射学结果。结果:平均骨愈合时间为8.87±1.54周(7 ~ 12周)。末次随访时Bostman平均评分为27.13±2.5分(范围21 ~ 30),Lysholm平均评分为90.69±5.75分(范围83 ~ 100)。所有患者骨折均愈合,无固定失败。3例患者(18.75%)观察到轻度复位损失(< 2mm)。无患者再手术。1例患者术后10周出现膝关节僵硬,并发感染性血肿。术后无患者出现膝关节前侧疼痛。2例(12.5%)患者因缝合结突出而出现轻度局部疼痛。无明显的种植体相关并发症,无需重复手术。结论:在髌骨骨折固定中使用全纤维线技术的非金属缝线避免了植入物相关的并发症和第二次手术取出金属植入物的可能性。非金属高电阻FiberWire与传统金属固定相匹配,降低了术后并发症的风险。证据等级:IV级(治疗性)。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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