Cochrane · systematic review · CD009651
Interventions for treating fractures of the patella in adults
Sayum Filho, J, Lenza, M, Tamaoki, MJS, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 4 · 57.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Percutaneous patellar osteosynthesis versus open surgery for treating fractures of the patella in adults
Population: adults with fractures of the patella
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient‐rated knee function score assessed using the Lysholm Knee Scoring Scale (0–100; 100 = best function). Percutaneous patellar osteosynthesis vs open surgery | no estimate extracted | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Anterior knee pain measured using VAS: 0 to 10 cm (10 cm = worst score) Percutaneous patellar osteosynthesis vs open surgery | no estimate extracted | 4 studies · 183 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Major adverse outcome: total events Percutaneous patellar osteosynthesis vs open surgery | RR 0.26 [0.14, 0.46] | 3 studies · 145 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Observer‐rated measures of knee function Knee function scores (see comment) Percutaneous patellar osteosynthesis vs open surgery | SMD 1.01 [0.08, 1.95] | 3 studies · 124 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Health‐related quality of life Percutaneous patellar osteosynthesis vs open surgery | no estimate extracted | NR | No studies |
Return to previous activity Percutaneous patellar osteosynthesis vs open surgery | no estimate extracted | NR | No studies |
Cosmetic appearance Percutaneous patellar osteosynthesis vs open surgery | no estimate extracted | NR | No studies |