{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:49:16Z","timestamp":1777880956362,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Clinical Specialty Discipline Construction Program of Fujian","award":["MINWEIKEJIAO [2012]-149"],"award-info":[{"award-number":["MINWEIKEJIAO [2012]-149"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to assess the outcomes in a series of patients, who underwent cerclage and figure-of-eight tension band wiring using a single titanium cable for comminuted patellar fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We describe a modified tension band technique using a single titanium cable to create an ellipsoidal cap structure that combines the circumferential and figure-of-eight wrapping in the fixation of closed Association for the Study of Internal Fixation\/Orthopaedic Trauma Association 34C2 and 34C3 patellar fractures. We retrospectively reviewed 25 patients (16 males and 9 females, mean age 54 years) who underwent the described fixation technique between 2015 and 2017. Postoperative function was evaluated using the B\u00f6stman score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At the mean follow-up of 25 months (range 17\u201339 months), the mean B\u00f6stman score was 27.3 \u00b1 2.6 points (range 23\u201330). Eighteen patients (72%) had excellent results (score \u226528); seven patients (28%) had good results (score 20\u201327); and no patients had an unsatisfactory result (score &lt; 20). All surgical incisions healed without major wound complications. Two patients reported minor complications (soft tissue irritation, cellulitis). No patients demonstrated loss of reduction or implant failure during the follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The modified anterior ellipsoidal cap tension band using a single titanium cable created an effective tension band structure in the treatment of comminuted patella fractures. It is a simple operative technique that produced a stable fixation construct, which allowed early functional rehabilitation and weight-bearing with a high rate of excellent outcomes at 2 years after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499019874018","type":"journal-article","created":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T22:42:45Z","timestamp":1568760165000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The modified anterior ellipsoidal cap titanium cable tension band for comminuted patellar fractures"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2566-0681","authenticated-orcid":false,"given":"Fasheng","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianyi David","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunyong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhangxiong","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da","family":"Zeng","sequence":"additional","affiliation":[{"name":"Biomechanics Laboratory, Xiamen Medical Device Research and Testing Center, Xiamen, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhua","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjian","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma, Trauma Center of Fujian, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,9,17]]},"reference":[{"key":"bibr1-2309499019874018","doi-asserted-by":"publisher","DOI":"10.3109\/ort.1972.43.suppl-143.01"},{"key":"bibr2-2309499019874018","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201104000-00004"},{"key":"bibr3-2309499019874018","volume-title":"AO principles of fracture management","author":"Buckley R","year":"2018","edition":"3"},{"key":"bibr4-2309499019874018","volume-title":"Rockwood and green\u2019s fractures in adults","author":"Court-Brown 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