1. To plate, or not to plate? A systematic review of functional outcomes and complications of plate fixation in patellar fractures.
- Author
-
Tsotsolis S, Ha J, Fernandes ARC, Park JY, Dewhurst M, Walker T, Ilo K, Park SR, Patel A, Hester T, and Poutoglidou F
- Subjects
- Humans, Range of Motion, Articular, Treatment Outcome, Open Fracture Reduction adverse effects, Open Fracture Reduction methods, Patella injuries, Patella surgery, Fracture Fixation, Internal adverse effects, Fracture Fixation, Internal methods, Fracture Fixation, Internal instrumentation, Bone Plates adverse effects, Fractures, Bone surgery, Reoperation statistics & numerical data, Postoperative Complications etiology
- Abstract
Purpose: Poor outcomes and high complication and reoperation rates have been reported with tension-band wiring (TBW) in the management of patellar fractures and particularly the comminuted ones. The purpose of this study was to investigate the functional outcomes and complication rates of patellar fractures managed with open reduction and internal fixation (ORIF) with a plate., Methods: MEDLINE, EMCare, CINAHL, AMED and HMIC were searched, and the PRISMA guidelines were followed. Two independent reviewers extracted the data from the included studies and assessed them for the risk of bias., Results: Plating of patellar fractures is associated with satisfactory range of movement (ROM) and postoperative function and low pain levels. We found a 10.44% complication rate and a low reoperation rate. Reoperations were mainly performed for metalwork removal., Conclusion: ORIF with plating of patellar fractures is a safe alternative in the management of patellar fractures and may be associated with a lower complication and reoperation rate compared to TBW. Future randomized prospective studies are needed to validated the results of the present systematic review., (© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
- Published
- 2023
- Full Text
- View/download PDF