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June 13, 2026Journal of Orthopaedic Case ReportsOpen Access

A Prospective Study of Comminuted Patellar Fractures Treated with Different Fixation Modalities: Functional Outcomes and Complications

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Authors

RGRajesh GuptaBKBalram KalmeAKA Arun Kumar

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Overview

Prospective study compares functional outcomes of various fixation methods in comminuted patellar fractures, suggesting tailored approaches based on fracture type.

Key Points

  • The study aims to evaluate and compare the functional outcomes of different surgical fixation methods for comminuted patellar fractures.
  • Prospective observational study with 63 cases of comminuted patellar fractures enrolled at a medical college in India.
  • 46 patients underwent surgical management using tension band wiring, modified TBW, cannulated screw TBW, and modified cerclage wiring.
  • Functional outcomes measured using Böstman clinical grading score at 1, 3, 6, and 12 weeks postoperatively.
  • At 12 weeks, 39.1% of patients achieved excellent and 47.9% achieved good Böstman scores.
  • MTBW had the highest proportion of excellent results at 56.3%.
  • 15.2% of cases experienced complications, primarily in the TBW group, but no statistically significant differences among fixation methods (P = 0.443).

Cite This Study

Gupta et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf2a9faef96ed7f05565ehttps://doi.org/10.13107/jocr.2026.v16.i06.7416
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patella Fractures outcome after Tension Band Wiring; a Cross-sectional Study2024
  2. 2Assessment of the Functional Outcomes Associated with Tension Band Wire (TBW) Treatment for Patella Fractures at Bolan Medical and Teaching Hospital, Quetta2023
  3. 3Tension band wiring versus suture anchoring for inferior pole patellar fractures: a systematic review and meta-analysis2026 · 1 citations
  4. 4Early complications associated with fixation constructs of operatively treated patella fractures: a retrospective study2026 · 1 citations
  5. 5Clinical and functional outcomes of locking plate versus cerclage compression wiring for comminuted patella fracture fixation2025