A cortical screw based tension band construct for transverse patella fractures: An evolving strategy for addressing common modes of failure.

Paziuk, Taylor; Chang, Gerard; Henry, Tyler; Krieg, James · J Orthop · 2022

retrospective_cohort · Level III

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Abstract

Displaced patella fractures represent a clinical challenge. We evaluate the effectiveness of an alternative fixation construct to address common modes of fixation failure. A retrospective review of 49 patients who underwent fixation via the specific construct at a single institution between 2013 and 2019. Median follow-up was 52.7 weeks (Mean: 75.4 weeks; SD: 54.9; range: 27-267.7 weeks). Construct failure rate was 6.1% (3/49). This included two mechanical hardware failures, one the result of trauma and the other due to noncompliance. The modified construct represents a safe and effective means of treating transverse patella fractures. Level 4.

Anatomy