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

Mapping Intimacies ◽

10.21203/rs.3.rs-970780/v1 ◽

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

The Journal of Knee Surgery ◽

10.1055/s-0033-1364100 ◽

2014 ◽

Vol 27 (05) ◽

pp. 377-382 ◽

Cited By ~ 6

Author(s):

Manzoor Halwai ◽

Mudasir Malik

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Tension Band ◽

Tension Band Wiring ◽

Cannulated Screws ◽

Patellar Fractures

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Modified two-tension-band for patellar fractures

Journal of International Medical Research ◽

10.1177/0300060519893495 ◽

2019 ◽

Vol 48 (4) ◽

pp. 030006051989349

Author(s):

Chong Zhang ◽

Yong Zhao ◽

Kai Deng

Keyword(s):

Complication Rate ◽

Early Mobilization ◽

Tension Band ◽

Bony Union ◽

Complication Rates ◽

Lower Complication ◽

Band Group ◽

Group 2 ◽

Patellar Fractures ◽

Group 1

Objective To compare a modified two-tension-band (MTTB) technique with the AO tension band in treating patellar fractures. Methods This retrospective study included patients treated with AO tension band (group 1) or MTTB (group 2). Data obtained during serial follow-up evaluations of time to bony union, range of motion (ROM), Hospital for Special Surgery (HSS) score and complication rates, were analysed. Results Fractures healed in all 51 patients included in the study (group 1, n = 28; group 2, n = 23), with no statistically significant between-group difference in time to bony union. Regarding function results, group 2 had better HSS scores at 3 and 6 months postoperatively; however, at 1 year postoperatively, both groups had similar HSS scores and achieved acceptable flexion and ROM. The overall complication rate was significantly lower in group 2, but average costs were higher in group 2 versus group 1. Conclusion MTTB provides secure fixation and improved knee function at 3 and 6 months postoperatively, and has a lower complication rate with early mobilization, compared with the AO tension-band technique.

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Randomized Prospective Study of Olecranon Fracture Fixation: Cable Pin System versus Tension Band Wiring

Journal of International Medical Research ◽

10.1177/147323001204000324 ◽

2012 ◽

Vol 40 (3) ◽

pp. 1055-1066 ◽

Cited By ~ 13

Author(s):

Q-H Liu ◽

Z-G Fu ◽

J-L Zhou ◽

T Lu ◽

T Liu ◽

...

Keyword(s):

Fracture Healing ◽

Fracture Fixation ◽

Randomized Study ◽

Healing Time ◽

Outcome Data ◽

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fracture ◽

Fixation Method ◽

The Mean

OBJECTIVE: This prospective, randomized study compared the effectiveness of the cable pin system (CPS) versus tension band wiring (TBW) for olecranon fracture fixation. METHODS: Patients with acute transverse or slight oblique olecranon fractures were randomly divided into two groups: one fixed by CPS and the other by TBW. Clinical outcome data were collected and analysed following a mean duration of 21 months. RESULTS: The mean ± SD fracture healing time was significantly shorter in the CPS group ( n = 30; 9.73 ± 2.02 weeks) compared with the TBW group ( n = 32; 11.13 ± 2.21 weeks). One patient in the CPS group and seven patients in the TBW group experienced postoperative complications; this difference was statistically significant. The mean ± SD Mayo Elbow Performance Score in the CPS group was significantly higher (88.67 ± 6.42) than that in the TBW group (80.78 ± 11.99). Logistic regression analysis showed an association between fixation method and fracture healing time, complications and elbow function. CONCLUSIONS: Internal fixation by CPS is an effective method for olecranon fracture and is associated with a shorter healing time, fewer complications and better function than TBW.

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