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

  • Original Article • KNEE - FRACTURES
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

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.

Methods

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.

Results

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.

Conclusion

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.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Jiangxi Provincial People’s Hospital, 152 Ai Guo Road, Nanchang, 330006, Jiangxi, People’s Republic of China

    Xiaozheng Tang, Yayun Liu, Hongyan Wu, Feipeng Gong, Yuxu Li & Baofu Yu

  2. Clinical Research Institute, Jiangxi Provincial People’s Hospital, Nanchang, 330006, Jiangxi, People’s Republic of China

    Hong Zeng

Authors
  1. Xiaozheng Tang
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  2. Yayun Liu
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  3. Hongyan Wu
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  4. Feipeng Gong
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  5. Yuxu Li
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  6. Hong Zeng
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  7. Baofu Yu
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Corresponding author

Correspondence to Baofu Yu.

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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.

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

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Tang, X., Liu, Y., Wu, H. et al. Five-pointed star lattice sutures for fixation of patella transverse fractures: a clinical study. Eur J Orthop Surg Traumatol 29, 163–168 (2019). https://doi.org/10.1007/s00590-018-2272-1

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  • DOI: https://doi.org/10.1007/s00590-018-2272-1

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