Five-pointed star lattice sutures for fixation of patella transverse fractures: a clinical study

  • Xiaozheng Tang
  • Yayun Liu
  • Hongyan Wu
  • Feipeng Gong
  • Yuxu Li
  • Hong Zeng
  • Baofu YuEmail author
Original Article • KNEE - FRACTURES



Fixation of displaced patella fractures with metal implants may be associated with implant failure, post-operative pain, and high re-operation rate. This study reports preliminary clinical results of using five-pointed star lattice sutures for the management of patella transverse fractures.


A five-pointed star lattice suture configuration was produced intraoperatively, and 25 patients with patella transverse fractures were treated with this newly designed sutures fixation. All patients were followed up until union of the fractures or until further surgical intervention. At a mean of 1.6 years (range 0.8–2.5 years) of follow-up, the notes and plain radiographs of the 25 patients were reviewed. Bostman score was used to evaluate the therapeutic effects.


All 25 patients experienced union of the patella fractures, with excellent knee function in 19 patients and good in 6 patients evaluated with Bostman score.


The newly designed five-pointed star lattice sutures fixation may be a feasible alternative to metal implants fixation in the management of patella transverse fracture.

Level of evidence

Level IV case series.


Patellar fracture Lattice sutures Non-metal implant Fixation 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with Review Board of Jiangxi Provincial People’s Hospital and with the 1964 Helsinki Declaration and its later amendments. All procedures performed with animals were in accordance with the ethical standards of Jiangxi Provincial People’s Hospital on the Use and Care of Animals.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryJiangxi Provincial People’s HospitalNanchangPeople’s Republic of China
  2. 2.Clinical Research InstituteJiangxi Provincial People’s HospitalNanchangPeople’s Republic of China

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