{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:38:42Z","timestamp":1787755122119,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,2,22]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 40-year-old woman presented to the emergency department with a comminuted fracture of the patella with separation of the bone fragments. The patient underwent an open reduction and osteosynthesis using medial and lateral 2.0-mm nonlocking plates, which subsequently led to pain in the anterior and posterior aspects of the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this patient, bicolumnar nonlocking plating was unable to adequately resist the tensile forces of the extensor mechanism. We believe that the probable cause of failure was an insufficient neutralization of the tensile forces exerted by the extensor mechanism. Because of the substantial forces acting on the patella, a method of converting these tensile forces into compressive forces is very beneficial, as seen with anterior tension-band wiring. Although we used nonlocking plates in our patient, we believe that locking-plate fixation placed along the medial and lateral columns also would have had a biomechanical disadvantage in dispersing the tensile forces exerted by the extensor mechanism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00044","type":"journal-article","created":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T06:42:20Z","timestamp":1487054540000},"page":"e13","source":"Crossref","is-referenced-by-count":2,"title":["Failure of Patellar Plating with Mini-Fragment Implants"],"prefix":"10.2106","volume":"7","author":[{"given":"Daniel T.","family":"Miles","sequence":"first","affiliation":[{"name":"School of Medicine (D.T.M.) and Department of Orthopaedic Surgery and Rehabilitation (M.L.G., C.A.S., and P.F.B.), University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew L.","family":"Graves","sequence":"additional","affiliation":[{"name":"School of Medicine (D.T.M.) and Department of Orthopaedic Surgery and Rehabilitation (M.L.G., C.A.S., and P.F.B.), University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clay A.","family":"Spitler","sequence":"additional","affiliation":[{"name":"School of Medicine (D.T.M.) and Department of Orthopaedic Surgery and Rehabilitation (M.L.G., C.A.S., and P.F.B.), University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick F.","family":"Bergin","sequence":"additional","affiliation":[{"name":"School of Medicine (D.T.M.) and Department of Orthopaedic Surgery and Rehabilitation (M.L.G., C.A.S., and P.F.B.), University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"5","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/00005131-199707000-00009","article-title":"Biomechanical evaluation of current patella fracture fixation techniques","volume":"11","author":"Carpenter","year":"1997","journal-title":"J Orthop Trauma."},{"issue":"2","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.injury.2009.07.007","article-title":"Biomechanical comparison of tension band- and interfragmentary screw fixation with a new implant in transverse patella fractures","volume":"41","author":"Dargel","year":"2010","journal-title":"Injury."},{"issue":"5","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.otsr.2010.01.014","article-title":"Modified tension band technique for patella fractures","volume":"96","author":"Lefaivre","year":"2010","journal-title":"Orthop Traumatol Surg Res."},{"issue":"3","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1097\/00005373-199509000-00007","article-title":"Open fractures of the patella: long-term functional outcome","volume":"39","author":"Catalano","year":"1995","journal-title":"J Trauma."},{"issue":"4","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1007\/s00264-008-0602-3","article-title":"Anatomical and biomechanical evaluation of the tension band technique in patellar fractures","volume":"33","author":"Baran","year":"2009","journal-title":"Int Orthop."},{"issue":"6","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/BOT.0b013e31826623eb","article-title":"An alternative patellar fracture fixation: a biomechanical study","volume":"27","author":"Banks","year":"2013","journal-title":"J Orthop Trauma."},{"issue":"4","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.clinbiomech.2009.12.010","article-title":"Fixed-angle plate osteosynthesis of the patella - an alternative to tension wiring?","volume":"25","author":"Wild","year":"2010","journal-title":"Clin Biomech (Bristol, Avon)."},{"issue":"3","key":"bib8-20230712","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."},{"issue":"2","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1097\/00005131-200502000-00008","article-title":"Complete exposure of the articular surface for fixation of patellar fractures","volume":"19","author":"Gardner","year":"2005","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1097\/00005131-199711000-00005","article-title":"Open reduction internal fixation of displaced transverse patella fractures with figure-eight wiring through parallel cannulated compression screws","volume":"11","author":"Berg","year":"1997","journal-title":"J Orthop Trauma."},{"issue":"2","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1007\/s007760300044","article-title":"Revolution in plate osteosynthesis: new internal fixator systems","volume":"8","author":"Sch\u00fctz","year":"2003","journal-title":"J Orthop Sci."},{"issue":"2","key":"bib12-20230712","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":"Thelen","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"12","key":"bib13-20230712","doi-asserted-by":"crossref","first-page":"e504","DOI":"10.1097\/BOT.0000000000000415","article-title":"Multiplanar fixation for patellar fractures using a low-profile mesh plate","volume":"29","author":"Lorich","year":"2015","journal-title":"J Orthop Trauma."},{"issue":"9","key":"bib14-20230712","doi-asserted-by":"crossref","first-page":"e231","DOI":"10.1097\/BOT.0000000000000039","article-title":"Plating of patella fractures: techniques and outcomes","volume":"28","author":"Taylor","year":"2014","journal-title":"J Orthop Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201707010-00014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:37:53Z","timestamp":1787751473000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201707010-00014"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2017,2,22]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.16.00044","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,22]]}}}