scholarly journals Comparison of the outcomes of cannulated screws vs. modified tension band wiring fixation techniques in the management of mildly displaced patellar fractures

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Tao Lin ◽  
Junbin Liu ◽  
Baojun Xiao ◽  
Dehao Fu ◽  
Shuhua Yang
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
Cannulated Screws ◽  
Fixation Techniques ◽  
Patellar Fractures

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

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.

scholarly journals Comparison of the outcomes of pull through suturing vs. tension band wiring fixation techniques in the management of patellar fractures

2018 ◽  
Vol 4 (3) ◽  
pp. 502
Author(s):  
Rahul Kadam ◽  
Sachin Pandey ◽  
Abhay Challani ◽  
Vicky Jain ◽  
Akshay Shah ◽  
...  
Keyword(s):  
Standard Of Care ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Knee Score ◽  
Number Of Patients ◽  
Lysholm Knee Score ◽  
Fixation Techniques ◽  
The Mean ◽  
Pull Through ◽  
Patellar Fractures

<p class="abstract"><strong>Background:</strong> Operative fixation of displaced patella fractures has now become the standard of care. This study aims to asses functional outcomes, as well as identify complications in a patients treated with non-absorbable braided suture fixation for patellar fractures. These patients were then compared to a group of patients treated with K-wires with tension band wiring.</p><p class="abstract"><strong>Methods:</strong> This study was conducted on the patients admitted to orthopaedic ward at MGM medical college and hospital, Kamothe, Navi Mumbai. Total number of patients was taken for this study. Patients were followed up for a period of 6 weeks, 3 months, 6 months and at each visit. Patients were assessed by Lysholm knee score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age was 43.33 years for TB wiring group and 46.26 years for pull through suturing group. Out of 30, 15 were in TB wiring group in which 14 males and 1 female and, 15 in pull through suturing group 4 females and 11 males. The mean Lysholm knee score at 6 weeks for TB wiring group was 68.2 at 3 months was 81.4 at 6 months was 87. The mean Lysholm knee score for 6 weeks for pull through suturing was 69.2, at 3 months was 72.5 and at 6 months was 79.2.</p><p class="abstract"><strong>Conclusions:</strong> Patella fracture most common fractures, in this study we have discussed two modalities of treatment one is TB wiring and second is pull through suturing showing results that TB wiring have better results.</p>

Complications Following Tension-Band Fixation of Patellar Fractures with Cannulated Screws Compared with Kirschner Wires

2013 ◽  
Vol 95 (7) ◽  
pp. 653-659 ◽  
Author(s):  
C. Max Hoshino ◽  
Wesley Tran ◽  
John V. Tiberi ◽  
Mary Helen Black ◽  
Bonnie H. Li ◽  
...  
Keyword(s):  
Tension Band ◽  
Cannulated Screws ◽  
Kirschner Wires ◽  
Patellar Fractures

scholarly journals Study of patellar fractures treated by modified tension band wiring– A prospective study

2017 ◽  
Vol 3 (2j) ◽  
pp. 864-871
Author(s):  
Muralidhar BM ◽  
Madhusudan H ◽  
Mithun Mohan
Keyword(s):  
Prospective Study ◽  
Tension Band ◽  
Tension Band Wiring ◽  
A Prospective Study ◽  
Patellar Fractures

scholarly journals Functional Outcome of Revision Osteosynthesis after failed surgical treatment of patellar fractures

2019 ◽  
Vol 7 (6_suppl4) ◽  
pp. 2325967119S0023
Author(s):  
Elena Müller ◽  
Karl-Heinz Frosch
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Revision Surgery ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fracture Dislocation ◽  
Secondary Fracture ◽  
Patellar Fractures ◽  
Tegner Score

Aims and Objectives: Patellar fractures account for approximately 1% of all skeletal fractures. They are rare, but due to the crucial function of the patella in the extensor mechanism of the knee they can lead to a serious impairment. New data are revealing functional impairment remains common even with improved surgical techniques. The aim of this study is to asses the functional outcome of patients after revision surgery in case of secondary fracture dislocation or remaining articular incongruity. Materials and Methods: The study was designed as a retrospective observatory study. We included all patients who underwent a revision surgery because of a remaining articular incongruity or a secondary fracture dislocation or re-fracture from January 2010 until december 2016. Results: Sixteen patients of mean age 51,8 years were included in the study with a mean follow-up period of 28,8 months. Fifteen patients had AO type C fractures, within ten a C3 fracture. Thirteen were initially treated with tension band wiring via k-wires or cannulated screws. The reason for a revision surgery were 5 times a remaining articular incongruity, 11 times a secondary fracture dislocation or re-fracture. We analysed pain, satisfaction, range of motion, Böstman-Score, Tegner-Score and KOOS and could extract follow-up data from 15 of the patients. All fractures healed, no articular incongruity remained. Mean pain measured with the visual analogue scale (0-10) was at rest 0,57 (range 0-3,5), on exertion 2,79 (range 0-8). The measurement of the range of motion compared with the opposite knee showed a complete extension. Mean Flexion was 120°, in the opposite knee 136° (p = 0,05). Mean postoperative Böstman-Score and Tegner-Score were 25,11 (good, max. 30) and 78,67 (moderate, max. 100). KOOS: symptoms 66,8 points, pain 77,55 points, ADL 75,67 points and qualitiy of life 56,25 points. Conclusion: Early revision surgery in case of secondary fracture dislocation, re-fracture or remaining articular incongruity leads to statisfactory functional outcomes. Furthermore in case of complexe fractures the tension band wiring technique shouldn’t be the first choice, alternatives like the plate osteosynthesis should be considered.

PEAK LOAD RESISTANCE OF THE JUGGERKNOTXS™ SOFT ANCHOR TECHNIQUE COMPARED WITH OTHER COMMON FIXATION TECHNIQUES FOR LARGE MALLET FINGER FRACTURES

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 381-388
Author(s):  
Jason Pui Yin Cheung ◽  
Boris Fung ◽  
Wing Yuk Ip
Keyword(s):  
Kirschner Wire ◽  
Peak Load ◽  
Load Resistance ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fixation Method ◽  
Mallet Finger ◽  
Pull Out ◽  
Fixation Techniques ◽  
Anchor Fixation

Introduction: To identify the strongest peak load resistance among four mallet finger fracture fixation methods (Kirschner wire, pull-out wire, tension-band wiring and the JuggerKnot™ (Biomet) soft anchor fixation). Methods: Fixation techniques were assigned among 24 specimens from six cadaveric human hands in a randomized block fashion. Peak load resistance was tested at 30°, 45° and 60° of flexion of the distal interphalangeal joint. Results: The mean peak load of tension-band wiring was 67.8 N at 60° of flexion which was most superior. The JuggerKnot™ fixation had mean peak loads of 13.35 N (30°), 22.51 N (45°) and 32.96 N (60°). No complications of implant failure or fragmentation of the dorsal fragment was noted. Conclusions: Tension-band wiring was the strongest fixation method but was most prominent on the skin surface as seen in three specimens. The JuggerKnot™ soft anchor fixation had similar peak load resistance as k-wire fixation and pull-out wiring.

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