{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:07:56Z","timestamp":1778544476322,"version":"3.51.4"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The gold standard for patella fracture fixation is tension band wiring; however, achieving stable anatomic fixation can be challenging in comminuted patterns. The \u201cstar\u201d variable-angle locking patella plate is an alternative fixation construct that is meant to address these limitations by providing multiple fixation points and dorsal cortical stability. The purpose of this study was to analyze the outcomes of patients treated with the variable-angle locking \u201cstar\u201d patella plate. A total of 358 patients who underwent repair of a displaced patella fracture over a 10-year period were reviewed. Patients who sustained an isolated orthopaedic trauma association (OTA) 34-C3 patella fracture and underwent open reduction internal fixation (ORIF) with the variable-angle locking star-shaped patella plating system with at least 6 months of follow-up were analyzed. Demographic and treatment characteristics, fracture union, complications, and functional outcome measures as measured by knee range of motion (ROM) were collected retrospectively at standard follow-up intervals. Thirty-seven patients (mean age 60.17\u2009\u00b1\u200916.72 [standard deviation, SD] years; mean body mass index [BMI] 25.12\u2009\u00b1\u20095.04 [SD] kg\/m2) treated at one multisite, urban, academic institution were identified. All fractures were classified as OTA 34-C3. The mean operating room time (wheels-in wheels-out) was 149.43\u2009\u00b1\u200950.82 (SD) minutes. One patient (2.7%) developed a fracture-related infection (FRI), two patients (5.4%) had wound complications, and one patient (2.7%) developed a deep vein thrombosis (DVT) following surgery. All fractures healed by 6 months, and no patient underwent removal of symptomatic hardware. Three patients underwent secondary operation; one patient had repeated irrigation and debridement of a confirmed FRI, one manipulation under anesthesia for knee contracture, and one revision ORIF after loss of distal fixation. Patients displayed a mean knee ROM of 106.53\u2009\u00b1\u200921.64\u2009degrees (SD) and 118.51\u2009\u00b1\u200916.87\u2009degrees (SD) at the 3- and 6-month points, respectively. The novel locking \u201cstar\u201d patella plate appears to be a reliable and safe method of treatment for the most complex patella fractures.<\/jats:p>","DOI":"10.1055\/a-2865-2853","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T23:09:07Z","timestamp":1778540947000},"source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Variable-Angle Locking Anterior Patella Plating for the Treatment of OTA 34-C3 Patella Fractures"],"prefix":"10.1055","author":[{"given":"Alexander M.","family":"Lashgari","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Langone Orthopedic Hospital, United States","department":["Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Ganta","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Langone Orthopedic Hospital, United States","department":["Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery"]},{"name":"Jamaica Hospital Medical Center, United States","department":["Department of Orthopedic Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Rivero","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Langone Orthopedic Hospital, United States","department":["Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjit R.","family":"Konda","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Langone Orthopedic Hospital, United States","department":["Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery"]},{"name":"Jamaica Hospital Medical Center, United States","department":["Department of Orthopedic Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Langone Orthopedic Hospital, United States","department":["Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery"]},{"name":"Jamaica Hospital Medical Center, United States","department":["Department of Orthopedic Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"4727","DOI":"10.1007\/s00068-022-01993-0","article-title":"Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register","volume":"48","author":"M Kruse","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3928\/01477447-20150603-05","article-title":"Current treatment strategies for patella fractures","volume":"38","author":"D J Schuett","year":"2015","journal-title":"Orthopedics"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/BOT.0000000000000787","article-title":"Superior outcomes after operative fixation of patella fractures using a novel plating technique: A prospective cohort study","volume":"31","author":"D G Lorich","year":"2017","journal-title":"J Orthop Trauma"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1016\/j.injury.2012.04.020","article-title":"Biomechanical cadaver testing of a fixed-angle plate in comparison to tension wiring and screw fixation in transverse patella fractures","volume":"43","author":"S Thelen","year":"2012","journal-title":"Injury"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s00167-012-1999-1","article-title":"Cyclic long-term loading of a bilateral fixed-angle plate in comparison with tension band wiring with K-wires or cannulated screws in transverse patella fractures","volume":"21","author":"S Thelen","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/s12891-023-06394-x","article-title":"Anterior variable-angle locked plating versus tension band wiring of simple and complex patella fractures - a biomechanical investigation","volume":"24","author":"K Stoffel","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/2047-783X-16-1-41","article-title":"Fixed-angle plates in patella fractures - a pilot cadaver study","volume":"16","author":"M Wild","year":"2011","journal-title":"Eur J Med Res"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"3287","DOI":"10.1007\/s00590-023-03597-9","article-title":"To plate, or not to plate? 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