Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis
The patella's inferior pole transmits force generated by contraction of the quadriceps muscle to the tibial tuberosity through the attached patellar ligament, thus completing knee extension. Therefore, fractures of the patella's inferior pole disrupt the coherence of mechanical transmissio...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-11-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13490 |
| _version_ | 1798046266984235008 |
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| author | Wanbo Zhu Lei Xu Kai Xie Xinyuan Li Xianlong Zhang Shiyuan Fang Jiazhao Yang |
| author_facet | Wanbo Zhu Lei Xu Kai Xie Xinyuan Li Xianlong Zhang Shiyuan Fang Jiazhao Yang |
| author_sort | Wanbo Zhu |
| collection | DOAJ |
| description | The patella's inferior pole transmits force generated by contraction of the quadriceps muscle to the tibial tuberosity through the attached patellar ligament, thus completing knee extension. Therefore, fractures of the patella's inferior pole disrupt the coherence of mechanical transmission in the lower extremities. There appears to be no consensus among trauma centers regarding the treatment of infrapatellar pole fractures, primarily because there is no consistent design or application of internal fixation for this type of fracture. We designed a new internal implant similar to the smile necklace based on our previous study. This smile‐necklace plate (SNP) has the advantage of both plate fixation and tension‐band wiring fixation, permitting early rehabilitation, especially in osteoporotic comminuted infrapatellar pole fractures. Finite element analysis helped verify the biomechanical advantages of the SNP in comparison with existing studies. Hence, this novel implant is a promising treatment option for inferior pole patellar fractures. |
| first_indexed | 2024-04-11T23:36:08Z |
| format | Article |
| id | doaj.art-b384578d827c471b836958ea8959f64a |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-11T23:36:08Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-b384578d827c471b836958ea8959f64a2022-12-22T03:56:58ZengWileyOrthopaedic Surgery1757-78531757-78612022-11-0114112799280810.1111/os.13490Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and HypothesisWanbo Zhu0Lei Xu1Kai Xie2Xinyuan Li3Xianlong Zhang4Shiyuan Fang5Jiazhao Yang6Department of Orthopaedics Shanghai Jiao Tong University, Affiliated Sixth People's Hospital Shanghai ChinaDepartment of Orthopaedics The First Affiliated Hospital of University of Science and Technology of China Hefei ChinaDepartment of Orthopaedics The First Affiliated Hospital of University of Science and Technology of China Hefei ChinaShanghai Medical college Fudan university Shanghai ChinaDepartment of Orthopaedics Shanghai Jiao Tong University, Affiliated Sixth People's Hospital Shanghai ChinaDepartment of Orthopaedics The First Affiliated Hospital of University of Science and Technology of China Hefei ChinaDepartment of Orthopaedics The First Affiliated Hospital of University of Science and Technology of China Hefei ChinaThe patella's inferior pole transmits force generated by contraction of the quadriceps muscle to the tibial tuberosity through the attached patellar ligament, thus completing knee extension. Therefore, fractures of the patella's inferior pole disrupt the coherence of mechanical transmission in the lower extremities. There appears to be no consensus among trauma centers regarding the treatment of infrapatellar pole fractures, primarily because there is no consistent design or application of internal fixation for this type of fracture. We designed a new internal implant similar to the smile necklace based on our previous study. This smile‐necklace plate (SNP) has the advantage of both plate fixation and tension‐band wiring fixation, permitting early rehabilitation, especially in osteoporotic comminuted infrapatellar pole fractures. Finite element analysis helped verify the biomechanical advantages of the SNP in comparison with existing studies. Hence, this novel implant is a promising treatment option for inferior pole patellar fractures.https://doi.org/10.1111/os.13490BiomechanicsInferior patellar pole avulsion fractureReviewSmile‐necklace plate |
| spellingShingle | Wanbo Zhu Lei Xu Kai Xie Xinyuan Li Xianlong Zhang Shiyuan Fang Jiazhao Yang Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis Orthopaedic Surgery Biomechanics Inferior patellar pole avulsion fracture Review Smile‐necklace plate |
| title | Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis |
| title_full | Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis |
| title_fullStr | Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis |
| title_full_unstemmed | Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis |
| title_short | Design and Validation of a Smile‐Necklace Plate for Treating Inferior Patellar Pole Avulsion Fractures: A Review and Hypothesis |
| title_sort | design and validation of a smile necklace plate for treating inferior patellar pole avulsion fractures a review and hypothesis |
| topic | Biomechanics Inferior patellar pole avulsion fracture Review Smile‐necklace plate |
| url | https://doi.org/10.1111/os.13490 |
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