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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

19.10.2021 | Original Article

Plate osteosynthesis in patellar fractures: a systematic review and meta-analysis

verfasst von: Balgovind S. Raja, Aakash Jain, Souvik Paul, Arghya Kundu Choudhury, Roop Bhushan Kalia

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 8/2022

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Abstract

Introduction

To perform a systematic review and assess the indications, outcomes, complications, and union rates associated with plate osteosynthesis in patellar fractures compared to tension band wiring.

Methods

The systematic search was conducted for articles in PubMed, Embase Biomedical, Cochrane central, and LILACS databases (date of inception to July 30, 2020). Articles were included if they were randomized control trials, cohort studies, case-control studies, and case series (with more than five cases), which focused on the clinical outcomes of patients with plate osteosynthesis as a treatment for fracture of the patella and had a minimum follow-up of 3 months. All studies were assessed according to their level of evidence, the number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized. Meta-analysis could only be done for two parameters (complications and reoperations) due to the paucity of data and heterogeneity of studies’ limited statistical analysis. The data are presented as a review table with the key points summarized.

Results

Twenty studies (seven prospective and 13 retrospective articles) identified 533 patients with 534 fractures who had undergone plate osteosynthesis for fracture of the patella. The most common fracture treated with plate osteosynthesis was 34C.

Conclusion

Basket plate was most commonly used for inferior pole fractures, while mesh plates were for intra-articular patella fractures. Overall plating was associated with better clinical outcomes, fewer complication rates, and high union rates compared to tension band wiring for patella fractures.

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Titel: Plate osteosynthesis in patellar fractures: a systematic review and meta-analysis
verfasst von: Balgovind S. Raja
Aakash Jain
Souvik Paul
Arghya Kundu Choudhury
Roop Bhushan Kalia
Publikationsdatum: 19.10.2021
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 8/2022
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-021-03143-5

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