Transverse Patella Fracture Fixation: A Cadaveric Biomechanical Comparison of Cannulated Screws and Anterior Tension Band versus Low-Profile, Multiplanar Mesh Plating

Despite advances in internal fixation design and technique, fractures of the patella continue to have poor clinical outcomes and high reoperation rates[1 –5]. Rigid anatomic fixation and early motion remains the standard for most periarticular fractures, yet few anatomic regions of the body experience forces as large as those transmitted across the patella during daily activities[6–9]. Treatment of patella fractures is highly variable and ranges from patellectomy, to tension band wiring, to a hybrid of tension wires and cannulated screws to fragment specific fixation and multiplanar plate fixation[2,10-22].

Source: Injury - April 16, 2024 Category: Orthopaedics Authors: Matthew R. Garner, Brittany Homcha, Trevin Cowman, Madison Goss, J. Spence Reid, Gregory S. Lewis Source Type: research