Tension band versus locking plate fixation for patella fractures - a protocol of a randomised controlled trial

Dan Med J. 2024 Apr 10;71(5):A12230753. doi: 10.61409/A12230753.

Abstract

Introduction: Following surgical management of patella fractures, patients commonly report pain; difficulties with weight-bearing tasks such as walking, running and climbing stairs; and restrictions in quality of life. Recently, a locking plate system for surgical management of patella fractures has been introduced. To date, no studies have compared standard treatment with tension band wiring with locking plate fixation in a randomised study design. We aim to compare the one-year patient-reported Knee Injury and Osteoarthritis Outcome subscale scores (KOOS5-subscales) after standard care tension band fixation with locking plate fixation for patients with patella fractures.

Methods: This is a multicentre randomised and prospective clinical trial. A total of 122 patients will be included in the study, and the primary outcome will be the KOOS subscales at 12 months after surgery.

Conclusions: Findings from the present study are expected to advance our understanding of outcome following surgical treatment of patella fractures.

Funding: This study is funded, in part, by the Novo Nordisk Foundation, Denmark.

Clinicaltrials: gov ID: NCT04891549.

Publication types

  • Clinical Trial Protocol
  • Randomized Controlled Trial
  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adult
  • Bone Plates*
  • Bone Wires
  • Denmark
  • Female
  • Fracture Fixation, Internal* / instrumentation
  • Fracture Fixation, Internal* / methods
  • Fractures, Bone* / surgery
  • Humans
  • Male
  • Middle Aged
  • Patella Fracture
  • Patella* / injuries
  • Patella* / surgery
  • Prospective Studies
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Treatment Outcome

Associated data

  • ClinicalTrials.gov/NCT04891549