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Kotelnikov G.P.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

Knyazev N.A.

Samara State Medical University

Likholatov N.E.

Samara State Medical University

Postoperative outcomes in patients with closed patellar fractures

Authors:

Kotelnikov G.P., Kim Yu.D., Shitikov D.S., Knyazev N.A., Likholatov N.E.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(3): 89‑96

DOI: 10.17116/hirurgia202203189

Read: 2262 times

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Table of contents

POSTOPERATIVE OUTCOMES IN PATIENTS WITH CLOSED PATELLAR FRACTURES
POSTOPERATIVE OUTCOMES IN PATIENTS WITH CLOSED PATELLAR FRACTURES

To cite this article:

Kotelnikov GP, Kim YuD, Shitikov DS, Knyazev NA, Likholatov NE. Postoperative outcomes in patients with closed patellar fractures. Pirogov Russian Journal of Surgery. 2022;(3):89‑96. (In Russ.)
https://doi.org/10.17116/hirurgia202203189

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve postoperative outcomes in patients with closed patellar fractures using a new method of surgical treatment.

MATERIAL AND METHODS

The authors proposed a new method of patellar osteosynthesis. Technique of osteosynthesis is described, and surgical scheme is presented. Treatment outcomes were analyzed in 68 patients with closed patellar fractures. The control group consisted of 34 patients who underwent Weber osteosynthesis. The authors assessed clinical and radiological data. Moreover, clinical example of a patient with traumatic closed patellar fracture and illustrations of surgical treatment are presented.

RESULTS

Clinical data indicate the advantage of treatment in the main group.

Keywords:

patella
osteosynthesis
patellar fracture
surgical treatment of patellar fracture
tension band wire
absolute stability
tension band wire principle
Weber osteosynthesis

Authors:

Kotelnikov G.P.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

Knyazev N.A.

Samara State Medical University

Likholatov N.E.

Samara State Medical University

Received:

13.04.2021

Accepted:

04.05.2021

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References:

  1. Schuett DJ, Hake ME, Mauffrey C, Hammerberg EM, Stahel PF, Hak D. J Current Treatment Strategies for Patella Fractures. Orthopedics. 2015;38(6):377-384.  https://doi.org/10.3928/01477447-20150603-05
  2. Henrichsen JL, Wilhem SK, Siljander MP, et al. Treatment of patella fractures. Orthopedics. 2018;41:e747-755.  https://doi.org/10.3928/01477447-20181010-08
  3. Scolaro J, Bernstein J & Ahn J. In Brief: Patellar Fractures. Clinical Orthopaedics and Related Research. 2010;469(4):1213-1215. https://doi.org/10.1007/s11999-010-1537-8
  4. Clemens Gwinner, Sven Märdian, Philipp Schwabe, Klaus-D Schaser, Björn Dirk Krapohl, Tobias M Jung. Current concepts review: Fractures of the patella. GMS interdisciplinary Plastic and Reconstructive Surgery DGPW. 2016;5:doc01. https://doi.org/10.3205/iprs000080
  5. Zagorodny NV, Khidzhazin VKh, Abdulkhabirov MA, Solod EI, Futryk AB. Patella fractures and their treatment: teaching aid. M.: RUDN; 2017.
  6. Crist BD, Borrelli J, Harvey EJ, eds. Essential Biomechanics for Orthopedic Trauma. 2020. https://doi.org/10.1007/978-3-030-36990-3
  7. Zderic I, Stoffel K, Sommer C, Höntzsch D & Gueorguiev B. Biomechanical evaluation of the tension band wiring principle. A comparison between two different techniques for transverse patella fracture fixation. Injury. 2017;48(8):1749-1757. https://doi.org/10.1016/j.injury.2017.05.037
  8. Kakazu R, Archdeacon MT. Surgical Management of Patellar Fractures. Orthopedic Clinics of North America. 2016;47(1):77-83.  https://doi.org/10.1016/j.ocl.2015.08.010
  9. Zhang Y, Xu Z, Zhong W, Liu F & Tang J. Efficacy of K-wire tension band fixation compared with other alternatives for patella fractures: A meta-analysis. Journal of Orthopaedic Surgery and Research. 2018;13(1). https://doi.org/10.1186/s13018-018-0919-6
  10. Yu X, Li S, Zhongguo Gu Shang. Progress on treatment of transverse patella fractures with tension band fixation. 2015;28(11):1069-1074.
  11. Rűedi TP, Bucley RE, Morgan CG. AO — Principles of Fracture Management. 2nd ed., additional and revised. Translated into Russian by Sitnik A.A.: in 2 volumes. V. 1. 2013.
  12. Rűedi TP, Bucley RE, Morgan CG. AO — Principles of Fracture Management. 2nd ed., additional and revised. Translated into Russian by Sitnik A.A.: in 2 volumes. V. 2. 2013.
  13. Henrichsen JL, Wilhem SK, Siljander MP, et al. Treatment of patella fractures. Orthopedics. 2018;41:e747-755.  https://doi.org/10.3928/01477447-20181010-08
  14. Khidzhazin VKh, Solod EI, Abdulhabirov MA. Results of surgical treatment of patellar fractures. Genij ortopedii. 2020;26(1):13-16. (In Russ.). https://doi.org/10.18019/1028-4427-2020-26-1-13-17
  15. Kotelnikov GP, Kim YuD, Shitikov DS, Knyazev NA, Likholatov NE. A method for the surgical treatment of patients with patellar fractures. Russian Federation patent, No. 2724822 (2020).
  16. Ling M, Zhan S, Jiang D, Hu H & Zhang C. Where should Kirschner wires be placed when fixing patella fracture with modified tension-band wiring? A finite element analysis. Journal of Orthopaedic Surgery and Research. 2019;14(1). https://doi.org/10.1186/s13018-019-1060-x
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