A study of fracture lines distribution characteristics in complete articular fractures of the patella

ObjectiveThe objective of this study was to unveil the characteristics of fracture lines distribution and explore its clinical significance of complete articular fractures of the patella.MethodsA consecutive series of image data from 88 patients with complete articular patella fractures were retrosp...

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Main Authors: Xiong Wang, Shuming Zi, Wenqiang Wei, Qiang Yao, Liehu Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1284479/full
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author Xiong Wang
Shuming Zi
Wenqiang Wei
Qiang Yao
Liehu Cao
author_facet Xiong Wang
Shuming Zi
Wenqiang Wei
Qiang Yao
Liehu Cao
author_sort Xiong Wang
collection DOAJ
description ObjectiveThe objective of this study was to unveil the characteristics of fracture lines distribution and explore its clinical significance of complete articular fractures of the patella.MethodsA consecutive series of image data from 88 patients with complete articular patella fractures were retrospectively included. Three-dimensional reconstruction images of the patella fractures were created and collected. Subsequently, these reconstructed images were visually overlaid onto a standard anterior and posterior patella template. The fracture lines were then identified, traced onto the template, and utilized to generate patella fracture maps. Furthermore, the incidence rate of patella fracture lines involving the distal pole was analyzed.ResultsThe maps depict the fracture lines of complete articular patella fractures. For simple and complex patella fractures, the primary fracture lines primarily converge within the Middle and Lower regions, exhibiting a transverse pattern. Conversely, the primary fracture lines in comminuted patella fractures are randomly dispersed across the patella. Examining the maps, approximately 63.6% (56/88) of complete articular patella fractures exhibited involvement of the distal pole in the anterior view, while 48.9% (43/88) displayed distal pole fractures in the posterior view. The incidence of distal pole injury increased progressively with the severity of patella fractures.ConclusionThe patterns and distribution of fracture lines in cases of complete articular patella fractures are prominently illustrated on the constructed fracture maps. Familiarity with these common characteristics of complete articular patella fracture, especially with the distal pole injury, can aid surgeons in developing preoperative planning, executing surgical strategies effectively, and reducing inappropriate treatment.
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spelling doaj.art-b13acb26f5274b59b124e78a1044caa02023-10-31T10:14:37ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-10-011010.3389/fsurg.2023.12844791284479A study of fracture lines distribution characteristics in complete articular fractures of the patellaXiong WangShuming ZiWenqiang WeiQiang YaoLiehu CaoObjectiveThe objective of this study was to unveil the characteristics of fracture lines distribution and explore its clinical significance of complete articular fractures of the patella.MethodsA consecutive series of image data from 88 patients with complete articular patella fractures were retrospectively included. Three-dimensional reconstruction images of the patella fractures were created and collected. Subsequently, these reconstructed images were visually overlaid onto a standard anterior and posterior patella template. The fracture lines were then identified, traced onto the template, and utilized to generate patella fracture maps. Furthermore, the incidence rate of patella fracture lines involving the distal pole was analyzed.ResultsThe maps depict the fracture lines of complete articular patella fractures. For simple and complex patella fractures, the primary fracture lines primarily converge within the Middle and Lower regions, exhibiting a transverse pattern. Conversely, the primary fracture lines in comminuted patella fractures are randomly dispersed across the patella. Examining the maps, approximately 63.6% (56/88) of complete articular patella fractures exhibited involvement of the distal pole in the anterior view, while 48.9% (43/88) displayed distal pole fractures in the posterior view. The incidence of distal pole injury increased progressively with the severity of patella fractures.ConclusionThe patterns and distribution of fracture lines in cases of complete articular patella fractures are prominently illustrated on the constructed fracture maps. Familiarity with these common characteristics of complete articular patella fracture, especially with the distal pole injury, can aid surgeons in developing preoperative planning, executing surgical strategies effectively, and reducing inappropriate treatment.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1284479/fullpatella fracturearticularmorphologyfracture linemap
spellingShingle Xiong Wang
Shuming Zi
Wenqiang Wei
Qiang Yao
Liehu Cao
A study of fracture lines distribution characteristics in complete articular fractures of the patella
Frontiers in Surgery
patella fracture
articular
morphology
fracture line
map
title A study of fracture lines distribution characteristics in complete articular fractures of the patella
title_full A study of fracture lines distribution characteristics in complete articular fractures of the patella
title_fullStr A study of fracture lines distribution characteristics in complete articular fractures of the patella
title_full_unstemmed A study of fracture lines distribution characteristics in complete articular fractures of the patella
title_short A study of fracture lines distribution characteristics in complete articular fractures of the patella
title_sort a study of fracture lines distribution characteristics in complete articular fractures of the patella
topic patella fracture
articular
morphology
fracture line
map
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1284479/full
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AT shumingzi astudyoffracturelinesdistributioncharacteristicsincompletearticularfracturesofthepatella
AT wenqiangwei astudyoffracturelinesdistributioncharacteristicsincompletearticularfracturesofthepatella
AT qiangyao astudyoffracturelinesdistributioncharacteristicsincompletearticularfracturesofthepatella
AT liehucao astudyoffracturelinesdistributioncharacteristicsincompletearticularfracturesofthepatella