Effectiveness of three-needle and two-cable structure in treatment of inferior patellar pole avulsion fractures.
10.7507/1002-1892.202504011
- Author:
Cheng DUAN
1
;
Jie CHENG
2
Author Information
1. Graduate School of Inner Mongolia Medical University, Hohhot Inner Mongolia Autonomous Region, 010030, P. R. China.
2. Department of Trauma Area C, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot Inner Mongolia Autonomous Region, 010030, P. R. China.
- Publication Type:Journal Article
- Keywords:
Inferior patellar pole avulsion fracture;
internal fixation;
tension band technique;
three-needle and two-cable structure
- MeSH:
Humans;
Male;
Patella/surgery*;
Female;
Fracture Fixation, Internal/instrumentation*;
Retrospective Studies;
Adult;
Bone Wires;
Fractures, Avulsion/surgery*;
Middle Aged;
Young Adult;
Range of Motion, Articular;
Treatment Outcome;
Fracture Healing;
Needles;
Adolescent;
Operative Time
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(6):686-691
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effectiveness of three-needle and two-cable structure in the treatment of inferior patellar pole avulsion fractures.
METHODS:A clinical data of 62 patients with inferior patellar pole avulsion fractures who were admitted between January 2023 and December 2023 and met the selection criteria was retrospectively analyzed. Among them, the fractures were fixed with three-needle and two-cable structure in 32 patients (observation group) and traditional steel wire tension band in 30 cases (control group). There was no significant difference in the baseline data of age, gender, side of the affected limb, cause of injury, and disease duration between the two groups ( P>0.05). The operation time, fracture healing and healing time, patellar height (Insall-Salvati index), occurrence of complications, knee range of motion, and Böstman score at last follow-up were compared between the two groups.
RESULTS:The operation time of the observation group was significantly shorter than that of the control group ( P<0.05). Patients in both groups were followed up 6-12 months (mean, 10.4 months). X-ray films re-examination showed that all fractures healed, and the fracture healing time was significantly shorter in observation group than in control group ( P<0.05); no significant difference was found in Insall-Salvati index between the two groups ( P>0.05). During follow-up, the complications occurred in 2 cases (6.25%) of observation group and in 9 cases (30.00%) of control group, and the difference in the incidences between the two groups was significant ( P<0.05). At last follow-up, the range of motion and Böstman score of the knee joint in observation group were significantly superior to control group ( P<0.05).
CONCLUSION:Compared with the traditional steel wire tension band fixation, the three-needle and two-cable structure fixation of the inferior patellar pole avulsion fractures is firm, which allows the knee joint to move early after operation and is conducive to the recovery of knee joint function.
