Non-metallic implant for patellar fracture fixation: A systematic review |
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| Institution: | 1. Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, UK;2. NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, UK;1. Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, UK;2. NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, UK;1. Department of Orthopaedics, University of Zürich, Balgrist University Hospital, Zürich, Switzerland;2. Department of Ortrhopaedics, Private Hospital Maria Hilf, Klagenfurt, Austria;1. Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131, United States;2. Center for Biomedical Engineering, The University of New Mexico Health Sciences Center, MSC01 1141, 1 University of New Mexico, Albuquerque, NM 87131, United States;3. Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, The University of New Mexico Health Sciences Center, MSC10 5550, 1 University of New Mexico, Albuquerque, NM 87131, United States |
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| Abstract: | IntroductionDespite good clinical outcome proposals, there has been relatively little published regarding the use of non-metallic implant for patellar fracture fixation. The purpose of the study was to perform a systematic literature review to summarize and evaluate the clinical studies that described techniques for treating patella fractures using non-metallic implants.MethodsA comprehensive literature search was systematically performed to evaluate all studies included in the literature until November 2015. The following search terms were used: patellar fracture, patella suture, patella absorbable, patella screw, patella cerclage. Two investigators independently reviewed all abstracts and the selection of these abstracts was then performed based on inclusion and/or exclusion criteria.ResultsA total of 9 studies involving 123 patients were included. Patients had a mean age of 33.7 years and were followed up for a mean of 18.9 months. The most common method for fracture fixations included the use of suture material. Good clinical outcomes were reported among all studies. Thirteen patients (10.5%) presented complications, while 4 patients (3.2%) required additional surgery for implant removal.ConclusionThere is a paucity of literature focused on the use of non-metallic implant for patellar fracture fixation. However, this systematic review showed that non-metallic implants are able to deliver good clinical outcomes reducing the rate of surgical complications and re-operation. These results may assist surgeons in choosing to use alternative material such as sutures to incorporate into their routine practice or to consider it, in order to reduce the rate of re-operation. |
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| Keywords: | Patellar fracture Knee fracture FiberWire Tension band Suture fixation Non-metallic implant Implant removal |
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