{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:12:37Z","timestamp":1785521557335,"version":"3.56.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Comminuted patellar fractures constitute approximately 55% of all operatively managed patellar fractures and pose a persistent challenge for orthopedic surgeons. Comparative functional outcome data from India, particularly from central India, remain sparse.\n\nObjectives: The objective of the study was to evaluate and compare the functional outcomes of tension band wiring (TBW), modified TBW (MTBW), cannulated screw TBW, and modified cerclage wiring (MCW) in the surgical management of comminuted patellar fractures.\n\nMaterials and Methods: This prospective observational study enrolled 63 cases of comminuted patellar fractures at Government Bundelkhand Medical College, Sagar, Madhya Pradesh, from August 2022 to April 2024. Of these, 46 underwent surgical management. Functional outcomes were assessed using the B\u00f6stman clinical grading score at 1, 3, 6, and 12 weeks post-operatively. Fisher\u2019s exact test was applied for intergroup comparisons (significance threshold: P &lt; 0.05).\n\nResults: The mean patient age was 42.2 \u00b1 15.4 years; 76.1% were male. Road traffic accidents were the predominant injury mechanism (69.6%). TBW was the most frequently performed procedure (43.5%). At 12 weeks, 39.1% achieved excellent and 47.9% achieved good B\u00f6stman scores. MTBW yielded the highest proportion of excellent results (56.3%). Complications occurred in 15.2% of cases, predominantly in the TBW group. No statistically significant differences were observed across modalities (P = 0.443).\n\nConclusion: All four modalities yielded satisfactory outcomes in comminuted patellar fractures. MTBW demonstrated numerically superior excellent outcomes; MCW showed the lowest complication rate. Fixation choice should be individualised to fracture morphology and surgeon expertise.\n\nKeywords: Comminuted patellar fracture, tension band wiring, modified tension band wiring, modified cerclage wiring, B\u00f6stman score, and fixation modalities.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7416","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:31:15Z","timestamp":1781022675000},"page":"174-181","source":"Crossref","is-referenced-by-count":1,"title":["A Prospective Study of Comminuted Patellar Fractures Treated with Different Fixation Modalities: Functional Outcomes and Complications"],"prefix":"10.13107","volume":"16","author":[{"given":"Rajesh Kumar","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Nandkumar Singh Chouhan Government Medical College, Khandwa, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balram","family":"Kalme","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Nandkumar Singh Chouhan Government Medical College, Khandwa, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankur","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Nandkumar Singh Chouhan Government Medical College, Khandwa, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:31:16Z","timestamp":1781022676000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/a-prospective-study-of-comminuted-patellar-fractures-treated-with-different-fixation-modalities-functional-outcomes-and-complications\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7416","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}