{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:56:04Z","timestamp":1788742564319,"version":"build-2803163510"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>To assess the clinical and radiographic outcomes of a consecutive series of patellar fractures treated using an anatomically contoured variable-angle patellar plating system (PPS) (Synthes; Paoli, PA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Single, academic, level-1 trauma center<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Selection Criteria:<\/jats:title>\n                    <jats:p>All adult patients who underwent fixation of a patellar fracture (AO\/OTA 34) with the PPS between 2021 and 2024 with a minimum follow-up of 3 months. Postoperatively, full extension was maintained for 6 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measures and Comparisons:<\/jats:title>\n                    <jats:p>The primary outcome was fixation failure. Secondary outcomes included range of motion at final follow-up, knee pain due to symptomatic implants, infection, and reoperation. Deep infection was defined as a return to the operating room for irrigation and debridement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      There were a total of 61 patients with a mean age of 54 years (19\u201392 years). The cohort consisted of 32 women (52%) with a mean BMI of 27 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (18\u201342 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Fifteen patients (25%) had diabetes and 16 patients were smokers (26%). The average follow-up was 7 months (range 3\u201326 months). There were 2 34A1 fractures, 1 34B1 fracture, 16 34C1 fractures, 10 34C2 fractures, and 32 34C3 fractures. There were 6 open fractures (1%), 2 type II and 4 type IIIA. There were 54 (89%) patients who achieved uneventful healing. Seven patients (11%) experienced a postoperative complication. One patient developed a superficial wound infection that resolved with oral antibiotic therapy, 3 patients developed arthrofibrosis necessitating further intervention, 2 patients experienced fixation failure with 1 requiring revision fixation, and 1 patient developed osteomyelitis and underwent implant removal after fracture union. Of the 3 patients with arthrofibrosis, 1 patient underwent manipulation under anesthesia, and 2 underwent arthroscopic lysis of adhesions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>The PPS may be used to stabilize challenging patellar fractures, leading to reliable union and minimal implant-related complications when associated with a postoperative protocol of full extension maintained for 6 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Therapeutic Case Series Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bot.0000000000003025","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T09:00:37Z","timestamp":1749027637000},"page":"524-529","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Excellent Results With Low Reoperation Rates After Fixation of Patella Fractures With a New Anatomically Contoured Plating System"],"prefix":"10.1097","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4171-0434","authenticated-orcid":false,"given":"M. Kareem","family":"Shaath","sequence":"first","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"},{"name":"Florida State College of Medicine, Orlando, FL USA; and"},{"name":"University of Central Florida College of Medicine, Orlando, FL USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Page","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bader A.","family":"Nasir","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Griffin R.","family":"Rechter","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Casin","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon P.","family":"Yawman","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"},{"name":"Florida State College of Medicine, Orlando, FL USA; and"},{"name":"University of Central Florida College of Medicine, Orlando, FL USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua R.","family":"Langford","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"},{"name":"Florida State College of Medicine, Orlando, FL USA; and"},{"name":"University of Central Florida College of Medicine, Orlando, FL USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0193-0969","authenticated-orcid":false,"given":"George J.","family":"Haidukewych","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL USA;"},{"name":"Florida State College of Medicine, Orlando, FL USA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250815","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1055\/s-0033-1353988","article-title":"Displaced patella fractures","volume":"26","author":"Della Rocca","year":"2013","journal-title":"J Knee Surg."},{"key":"R2-20250815","doi-asserted-by":"crossref","first-page":"e747","DOI":"10.3928\/01477447-20181010-08","article-title":"Treatment of patella fractures","volume":"41","author":"Henrichsen","year":"2018","journal-title":"Orthopedics"},{"key":"R3-20250815","doi-asserted-by":"crossref","first-page":"198","DOI":"10.5435\/00124635-201104000-00004","article-title":"Patellar fractures in adults","volume":"19","author":"Melvin","year":"2011","journal-title":"J Am Acad Orthop Surg."},{"key":"R4-20250815","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00005131-199704000-00008","article-title":"Early complications in the operative treatment of patella fractures","volume":"11","author":"Smith","year":"1997","journal-title":"J Orthop Trauma"},{"key":"R5-20250815","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":"Thelen","year":"2012","journal-title":"Injury"},{"key":"R6-20250815","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.clinbiomech.2009.12.010","article-title":"Fixed-angle plate osteosynthesis of the patella - 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