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Treatment of transverse patellar fractures: a comparison between metallic and non-metallic implants
Maarten H G Heusinkveld1, Anniek den Hamer, Willeke A Traa
1Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven 5600 MB, The Netherlands.
Introduction:
Several methods of transverse patellar fixation have been described. This study compares the clinical outcome and the occurrence of complications of various fixation methods.
Sources Of Data:
The databases PubMed, Web of Science, Science Direct, Google Scholar and Google were searched.
Areas Of Agreement:
A direct comparison between fixation techniques using mixed or non-metallic implants and metallic K-wire and tension band fixation shows no significant difference in clinical outcome between both groups. Additionally, studies reporting novel operation techniques show good clinical results.
Areas Of Controversy:
Studies describing the treatment of patients using non-metallic or mixed implants are fewer compared with those using metallic fixation.
Growing Points:
A large variety of clinical scoring systems were used for assessing the results of treatment, which makes direct comparison difficult.
Areas Timely For Developing Research:
More data of fracture treatment using non-metallic or mixed implants is needed to achieve a more balanced comparison.
