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A cortical screw based tension band construct for transverse patella fractures: An evolving strategy for addressing
Taylor Paziuk1, Gerard Chang1, Tyler Henry1
1Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Introduction:
Displaced patella fractures represent a clinical challenge. We evaluate the effectiveness of an alternative fixation construct to address common modes of fixation failure.
Methods:
A retrospective review of 49 patients who underwent fixation via the specific construct at a single institution between 2013 and 2019.
Results:
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.
Conclusions:
The modified construct represents a safe and effective means of treating transverse patella fractures.
Level Of Evidence:
Level 4.
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