Open Reduction and Internal Fixation of Patellar Fractures with Tension Band Wiring through Cannulated Screws

2014 ◽  
Vol 27 (05) ◽  
pp. 377-382 ◽  
Author(s):  
Manzoor Halwai ◽  
Mudasir Malik
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Cannulated Screws ◽  
Patellar Fractures

scholarly journals Outcome of Inferior Patellar Pole Avulsion Fractures

2016 ◽  
Vol 4 (2) ◽  
pp. 84
Author(s):  
Ruban Raj Joshi ◽  
Rajeev Dwivedi ◽  
Subin Byanjankar ◽  
Rahul Shrestha
Keyword(s):  
Internal Fixation ◽  
Hospital Stay ◽  
Open Reduction ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patellar Ligament ◽  
Suture Repair ◽  
Avulsion Fractures ◽  
Inferior Pole ◽  
Tension Band Wire

Introduction: The optimal treatment for inferior pole patella avulsion fractures has still been a topic of debate. The options include (a) internal fixation of the pole fragment and (b) resection of the avulsed fragment and repair of the patellar ligament to the patella. We present the comparative outcomes for patients with displaced inferior pole patella treated by resection and transosseous Ethibond® Krackow suture repair of patellar ligament with open reduction and internal fixation with modified tension band wiring and circumferential wiring.   Methods: During a three year period between August 2013 and September 2016, twenty consecutive patients with distal pole fractures of the patella were prospectively enrolled in this study. These patients were divided into two groups. Group-T patients were treated with open reduction and internal fixation with modified tension band wire and  group-R patients by resection of the avulsed fragment and reattachment of the patellar ligament to the patella with #5 Ethibond®. Data entry and analysis was done by using SPSS version 20. Anatomical and functional outcome were compared.   Results: Consecutive 20 patients were treated either with resection lower patellar pole (n=10) or with open reduction internal fixation with tension band wiring (n=10). Demographics were matched in two groups. Group-T required a longer hospital stay (U=13.5, p=0.005). Complications were seen more often in Goup-T compared to Group-R (p=0.005). Group-R had better scores (Bostman score U=6, p=0.001; SFMA U=7.5, p=0.001) and range of movement (p<0.05).   Conclusion: Resection of the avulsed fragment and reattachment of the patellar ligament to the patella had better outcome according to the Bostman and SFMA dysfunction score, shorter hospital stay, and less complications as compared to open reduction and internal fixation with tension band wire and circumferential wiring.

Biomechanical comparison of a 3.5 mm anterior locking plate to cannulated screws with anterior tension band wiring in comminuted patellar fractures

Injury ◽  
2020 ◽  
Vol 51 (6) ◽  
pp. 1281-1287
Author(s):  
Ferdinand C Wagner ◽  
Mirjam V Neumann ◽  
Steffen Wolf ◽  
Alexander Jonaszik ◽  
Kaywan Izadpanah ◽  
...  
Keyword(s):  
Locking Plate ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Cannulated Screws ◽  
Biomechanical Comparison ◽  
Patellar Fractures

Evaluation of the Results of Open Reduction and Internal Fixation Tension Band Wiring

2015 ◽  
Vol 3 (1) ◽  
pp. 127
Author(s):  
Sachin Sambhajirao Umrekar ◽  
Prashant Solanke ◽  
Soniya Sachin Umrekar ◽  
Preeti Pandurangrao Pawde
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Tension Band ◽  
Tension Band Wiring

scholarly journals Outcome of Transverse Patella Fractures Fixed With Cannulated Screws and Stainless Steel Tension Band Wiring

2021 ◽  
Author(s):  
Haytham Abdel-Moneim Abdel-Moneim ◽  
Mohammed Ahmed Moussa
Keyword(s):  
Stainless Steel ◽  
Fracture Healing ◽  
Skin Irritation ◽  
Early Mobilization ◽  
Healing Time ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Complication Rates ◽  
Cannulated Screws ◽  
Patellar Fractures

Abstract Background: Tension band supplemented by K-wires has long been the definitive technique for patellar fractures fixation. However, it is not without drawbacks. The stainless streel cable-cannulated screw tension band technique, may shorten healing time, decrease the complications and provide early range of knee motion. Herein, the current study evaluates the clinical and radiological outcome of this surgical modality. Methods: This prospective study was conducted on 21 patients (13 males and 8 females) with transverse fracture patella from June 2017 to April 2021. The surgical fixation consisted of two 4.0-mm parallel partially threaded cannulated cancellous screws with a figure-of-eight stainless steel tension band wiring. Follow-up was at least 10 months. Assessment criteria included the Lysholm score for knee function, ROM, VAS for pain, fracture reduction, fracture healing time, and complication rates. After 3 postoperative weeks, slab was removed and immediate rehabilitation were commenced.Results: The average Lysholm scores were 82.9 ± 4.4 SD, 87.8 ± 5.3 SD, and 92.7 ± 3.6 SD after 3, 6, and 10 months, respectively. VAS scores for pain were 2.6 ± 3.0 SD, 1.4 ± 2.6 SD, and 0.5 ± 2.3 SD at 3, 6 and 10-month, respectively. The patients had gained total ROM after 3, 6 and 10 months. The mean fracture healing time was 2.1 months (range, 1.5 - 3.1 months). Two patients experienced skin irritation by wire tails.Conclusion: The stainless steel cannulated screws and tension band construct provides a good alternative in treatment of transverse patellar fractures. It could yield stable fixation, low complication rate while providing early mobilization and accelerated rehabilitation.

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