scholarly journals LOWER POLE PATELLA FRACTURE: A COMBINATION OF CANCELLOUS SCREW FIXATION AND TENSION BAND WIRING Date : 30-07-2014

2014 ◽  
Vol 3 (31) ◽  
pp. 8575-8578
Author(s):  
Veeranna H D ◽  
Chaitanya P R ◽  
Sreekanth R
Keyword(s):  
Screw Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patella Fracture ◽  
Lower Pole ◽  
Cancellous Screw

Fixation of Closed Transverse Patella Fracture with Cannulated Cancellous Screws and Anterior Tension Band Wiring- A Prospective Study

2020 ◽  
Vol 11 (4) ◽  
pp. 7985-7989
Author(s):  
Senthil Loganathan ◽  
Raghavendran B ◽  
Thiyagarajan U ◽  
Pradeep J
Keyword(s):  
Prospective Study ◽  
Steel Wire ◽  
Knee Function ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patella Fracture ◽  
Cancellous Screw ◽  
Patella Fractures ◽  
Cancellous Screws ◽  
A Prospective Study

Patella fractures accounts for 1% of all skeletal injuries.  Patella fractures usually need to be treated with accurate reduction and fixation to obtain optimal knee function. Improper reduction of the articular fragments leads to complications like arthritis and quadriceps dysfunction. Tension band wiring and pasting are commonly performed fixation methods. Tension band wiring with K-wires is associated with wire prominence and soft tissue irritation. Cannulated cancellous screw fixation of the fracture and tension band wiring through the cannulated screws avoid the complication of wire migration and breakage.   In our study, we fixed these fractures with cannulated cancellous screws and tension band. This is a prospective study done in SRMC from 2012-2017. A total of 17 Patients with transverse patella fracture are taken into a study, 4mm cannulated cancellous screws with 18 mm stainless steel wire is used for anterior tension band wiring. Extensor retinaculum closure is done for all these patients. All patients had excellent knee function, according to KSS. There was no case of implant prominence or soft issue irritation in any of these patients. One patient had extensor lag. Cannulated cancellous screw with anterior tension band wiring is a reliable, effective and reproducible technique in treating transverse patella fractures.

scholarly journals Management of displaced patella fracture with modified tension band wiring and percutaneous cannulated screws-a dilemma

2021 ◽  
Vol 7 (2) ◽  
pp. 351
Author(s):  
Vishal Singh ◽  
Avinash Gundavarapu ◽  
Alokeshwar Sharma ◽  
Tejas Patel
Keyword(s):  
Screw Fixation ◽  
Early Postoperative Period ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Prospective Clinical Study ◽  
Patella Fracture ◽  
Fixation Technique ◽  
Mean Values ◽  
The Mean ◽  
Better Than

<p class="abstract"><strong>Background:</strong> Displaced patella fracture has seen various surgical management methods in the past among which tension band wiring (TBW) and less invasive percutaneous cannulated cancellous (CC) screw  fixation are mostly preferred and debated on which is better option. The study has been designed to compare the functional outcome and various parameters of both the methods.</p><p class="abstract"><strong>Methods:</strong> The study was conducted as prospective clinical study in 30 skeletally mature patients with x-ray evidence of patella fracture fulfilling inclusion and exclusion criteria, out of which 15 were done tension band wiring and rest percutaneous cancellous screw and outcome graded as excellent, good, fair and poor based on Lysholm knee score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The comparison of the mean values of the Lysholm score in patients operated with patella TBW (92.47) were better than with percutaneous CC screw fixation (88.93). Patella TBW was responsible for all the cases of infection 2 (6.67%) and delayed non-union 1 (3.33%). Whereas stiff was nearly equal in both the techniques. The comparison of the mean values of the knee flexion in patients operated by using percutaneous CC screw (107.27) was better than patella TBW (105.67).</p><p class="abstract"><strong>Conclusions:</strong> Patients managed with CC screw fixation technique achieved better knee function, especially in the early postoperative period. The reported advantages of the percutaneous fixation technique include avoidance of extended incisions, preservation of the blood supply to the patella, and the possibility of a simpler removal of all hardware in the clinical setting. These results suggest that the percutaneous CC screw technique may be a superior alternative to conventional modified tension band wiring.</p>

Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture

2014 ◽  
Vol 27 (3) ◽  
pp. 206 ◽  
Author(s):  
Young Min Lee ◽  
Kook Jin Chung ◽  
Ji Hyo Hwang ◽  
Hong Kyun Kim ◽  
Yong Hyun Yoon
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
Patella Fracture

scholarly journals Screw fixation versus tension band wiring in Treatment of closed displaced horizontal oblique medial malleolar fracture

2020 ◽  
Vol 4 (4) ◽  
pp. 137-141
Author(s):  
Dr. Abbas Silman Altaei ◽  
Dr. Abdulameer Raheem Hussein ◽  
Dr. Aamer Naji Shaalan
Keyword(s):  
Screw Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Malleolar Fracture

scholarly journals Comparative study of management of olecranon fractures using tension band wiring technique with cancellous screw and K wires

2016 ◽  
Vol 2 (3) ◽  
pp. 109
Author(s):  
Krishnaprasad H. S. ◽  
Shivanna Shivanna
Keyword(s):  
Comparative Study ◽  
Clinical Results ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Cancellous Screw ◽  
Medical College ◽  
Prospective Comparative Study ◽  
Group 5 ◽  
K Wires ◽  
Olecranon Fractures

<p class="abstract"><strong>Background:</strong> Olecranon fractures are commonly seen injuries in the emergency room. The surgical management of displaced fractures is open reduction and internal fixation with k-wires and figure of eight tension band wiring. It can also be fixed with intramedullary cancellous screw with tension band wiring. The present study is to compare the results of both the surgical procedures and to assess the merits and demerits.</p><p class="abstract"><strong>Methods:</strong> This prospective comparative study was carried out from August 2012 to November 2013 in Bapuji Hospital and Chigateri General Hospital attached to J.J.M Medical College, Davangere, India, where among 20 olecranon fractures, ten were treated with Tension band wiring with Kirshner wire and another ten treated with intramedullary cacellous screw with tension band wiring and the results were evaluated and compared.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, most of the cases were type II B fractures according to Colton’s classification. According to Mayo elbow performance score, Excellent  results found  in 8  patients (80%), good in1patient (10%)  and fair in 1 patient (10%) in cancellous screw group and in K wire group, 5 patient (50%) had excellent, 3 patient (30%) had good  and 2 patients (20%) had fair results. No poor result was seen in both groups.</p><p><strong>Conclusions:</strong> From this study it is concluded that using cancellous screw with tension band wiring for displaced transverse and oblique olecranon fractures gives better clinical results when compared to tension band wiring with K-wire fixation avoiding cost, work time loss and possible complications from hard ware removal.</p>

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