{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:33:56Z","timestamp":1789043636118,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2023,1,6]]},"abstract":"<jats:p>BACKGROUND: Patellar fractures are common intra-articular fractures. Arthroscopically assisted reduction and fixation has been shown to advantageous in the treatment of patellar fractures. OBJECTIVE: This study aimed to investigate the effect of arthroscopically assisted percutaneous minimally invasive Kirschner wire tension band fixation on the treatment of patellar fractures. METHODS: Thirty-four patients with acute closed patellar fractures enrolled in the study and were managed by arthroscopically assisted percutaneous minimally invasive Kirschner wire tension band fixation under epidural anesthesia. Among these patients, 24 were males, and ten were females. The mean age of these patients was 38 \u00b1 0.8 years (range: 25\u201362 years). Of these patients, 20 had transverse fractures, five had longitudinal fractures, four had marginal oblique fractures, and five had multifragmentary upper and lower pole. Fracture causes: 25 were caused by falls, and nine were caused by traffic accidents. The time from injury to operation was 6\u201348 hours, with an average of 23 hours. The average post-operative follow-up was 12.8 months, and at the end of follow-up, the Boestman scoring system was used to evaluate knee joint function. RESULTS: All the wounds healed by first intention, and no infections, skin necrosis, joint stiffness, or other complications occurred. Three months after operation, the tension band wire had broken in one patient, but the fracture had united, and this did not affect the prognosis. In eight patients, the average circumference at 10 cm above the patella was 0.6 cm less on the injured side than on the contralateral side. The average Boestman score was 27.5. The final result was excellent in 25 patients, good in eight patients, and acceptable in one patient. CONCLUSION: Arthroscopic management of simple patellar fracture with percutaneous minimally invasive Kirschner wire tension band fixation is less invasive than open operation, while still leading to firm fixation, and is conducive to early functional training and functional recovery, and thus is an effective method of management for patellar fractures.<\/jats:p>","DOI":"10.3233\/thc-220133","type":"journal-article","created":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T11:33:35Z","timestamp":1660649615000},"page":"151-156","source":"Crossref","is-referenced-by-count":4,"title":["Observation of the effect of arthroscopically assisted percutaneous minimally invasive Kirschner wire tension band fixation on the treatment of patellar fractures"],"prefix":"10.1177","volume":"31","author":[{"given":"Hai-Long","family":"Mei","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The First People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"},{"name":"Department of Orthopedics, The First People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"},{"name":"Department of Orthopedics, The First People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The First People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi-Lie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The First People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hou-Qiong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second People\u2019s Hospital of Jingmen, Jingmen, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/THC-220133_ref1","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/0020-1383(81)90238-2","article-title":"Comminuted displaced fractures of the patella","volume":"13","author":"B\u00f6stman","year":"1981","journal-title":"Injury."},{"key":"10.3233\/THC-220133_ref2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.3109\/13645706.2015.1134577","article-title":"Treatment of comminuted patellar fracture with the nitinol patellar concentrator","volume":"25","author":"Zhao","year":"2016","journal-title":"Minim Invasive Ther Allied Technol."},{"key":"10.3233\/THC-220133_ref3","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.ocl.2015.08.010","article-title":"Surgical management of patellar fractures","volume":"47","author":"Kakazu","year":"2016","journal-title":"Orthop Clin North Am."},{"key":"10.3233\/THC-220133_ref4","first-page":"157","article-title":"The operative repair of displaced patellar fractures","volume":"20","author":"Rink","year":"1991","journal-title":"Orthop Rev."},{"key":"10.3233\/THC-220133_ref5","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":"10.3233\/THC-220133_ref6","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1097\/TA.0b013e318240d728","article-title":"Surgical treatment of transverse patella fractures by the cable pin system with a minimally invasive technique","volume":"72","author":"Mao","year":"2012","journal-title":"J Trauma Acute Care Surg."},{"key":"10.3233\/THC-220133_ref7","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s00113-010-1768-x","article-title":"Patellafrakturen [Fractures of the patella]","volume":"113","author":"Wild","year":"2010","journal-title":"Unfallchirurg."},{"key":"10.3233\/THC-220133_ref8","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1053\/jars.2002.30486","article-title":"Arthroscopic-assisted percutaneous screw fixation of select patellar fractures","volume":"18","author":"Tandogan","year":"2002","journal-title":"Arthroscopy."},{"key":"10.3233\/THC-220133_ref9","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."},{"key":"10.3233\/THC-220133_ref10","first-page":"11","article-title":"[Treatment of patellar fracture with internal fixation combined closed reduction with arthroscope aid]","volume":"24","author":"Wang","year":"2010","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi."},{"key":"10.3233\/THC-220133_ref11","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1053\/jars.2002.30486","article-title":"Arthroscopic-assisted percutaneous screw fixation of select patellar fractures","volume":"18","author":"Tandogan","year":"2002","journal-title":"Arthroscopy."},{"key":"10.3233\/THC-220133_ref12","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.jcma.2011.05.008","article-title":"Comparison of a minimally invasive technique with open tension band wiring for displaced transverse patellar fractures","volume":"74","author":"Chiang","year":"2011","journal-title":"J Chin Med 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