Comparison of the Clinical Effect of Hollow Lag Screw Internal Fixation and Kirschner Wire Tension Band in the Treatment of Patella Fracture and Knee Joint Recovery Rate

2021 ◽  
Keyword(s):  
Knee Joint ◽  
Internal Fixation ◽  
Recovery Rate ◽  
Clinical Effect ◽  
Kirschner Wire ◽  
Tension Band ◽  
Patella Fracture ◽  
Wire Tension ◽  
Lag Screw

scholarly journals Clinical Comparative Study on the Treatment of Inferior Pole Fractures of Patella by Double-row Anchor Suture Bridge Technique Combined with Kirschner Wire Tension Band Internal Fixation

2022 ◽  
Author(s):  
chen bingqian ◽  
zhengfei wang ◽  
zhi chen ◽  
xiaohong qu ◽  
xiaowen fang ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Kirschner Wire ◽  
Operation Time ◽  
Tension Band ◽  
Double Row ◽  
Inferior Pole ◽  
Wire Tension ◽  
Suture Bridge ◽  
Suture Bridge Technique ◽  
Anchor Suture

Abstract Objective: To investigate the method, technique and clinical efficacy of double-row anchor suture bridge technique in the treatment of inferior pole fractures of patella, and to compare it with traditional Kirschner wire tension band internal fixation. Methods: General information A total of 62 patients were enrolled in this study, including 35 males and 27 females, aged 31-80 years old, with an average of (53.2±4) years old. All the patients were divided into two groups by a random double-blind method: Group A (double-row anchor suture bridge technique group) and Group B (Kirschner wire tension band internal fixation group), with 32 cases and 30 cases in each group, respectively. The two techniques were performed by the same group of doctors to fix the fracture respectively, and the intraoperative bleeding, operation time, incidence of postoperative complications, knee function score, etc., were compared between the two techniques. Results: Group A (double-row anchor suture bridge technique group): operation time 56-80min, with an average of (60±10) min; intraoperative blood loss 30-56ml, with an average of (43±10) ml. All incisions healed in one stage and stitches were removed after 2 weeks. No complications such as incision infection, flap necrosis and nerve injury occurred. The average healing time of the fracture was 12 weeks. At the last follow-up, the Bostman score was (28.5±3.3), and the excellent rate was 93.7%. Group B (Kirschner wire tension band internal fixation group): operation time 54-76min, with an average of (56±10) min; intraoperative blood loss 31-50ml, with an average of (43±80) ml. One patient developed delayed incision healing postoperatively. Four patients experienced Kirschner wire withdrawal, one of which was accompanied by infection. Two patients were found to have mild separation of distal fracture fragments, despite the fracture being fine. The average healing time of the fracture was 13 weeks. At the last follow-up, the Bostman score was (23.5±3.3), and the excellent rate was 86.7%. Conclusion: Double-row anchor suture bridge technique is applied to inferior pole fractures of patella by virtue of its various effects, such as the complete preservation of the inferior pole fragments during the operation, satisfactory fracture reduction, firm fixation, and meeting patients’ requirements for early postoperative ambulation. This technology is superior to traditional Kirschner wire tension band internal fixation owing to its advantages of no need to take out the internal fixation, firm fixation, no need to worry about Kirschner wire withdrawal and fewer complications, and its clinical efficacy satisfaction rate is also better than traditional surgical methods. In short, double-row anchor suture bridge technique is an ideal surgical procedure for the treatment of the inferior pole fracture of patella with safety, reliability and high satisfaction.

A SIMPLE METHOD OF OSTEOSYNTHESIS FOR AVULSION FRACTURES OF THE THUMB METACARPOPHALANGEAL JOINT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 209-211
Author(s):  
Kentaro Watanabe
Keyword(s):  
Internal Fixation ◽  
Avulsion Fracture ◽  
Kirschner Wire ◽  
Metacarpophalangeal Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Simple Method ◽  
Avulsion Fractures ◽  
Pull Out ◽  
Thumb Metacarpophalangeal Joint

Five cases with an avulsion fracture of the thumb metacarpophalangeal joint treated by a simple method of internal fixation are described. This method is designed as a form of modified tension band wiring using the combination of a single Kirschner wire and a pull-out wire, and is technically easy.

Comparison of the Kirschner Wire Tension Band with a Novel Nickel–Titanium Arched Shape–Memory Alloy Connector in Transverse Patellar Fractures: A Retrospective Study

2020 ◽  
Author(s):  
Yang Wang ◽  
Demeng Xia ◽  
Xi Luo ◽  
Hongyue Zhang ◽  
Jianghong Wu ◽  
...  
Keyword(s):  
Shape Memory Alloy ◽  
Hospital Stay ◽  
Shape Memory ◽  
Kirschner Wire ◽  
Length Of Hospital Stay ◽  
Nickel Titanium ◽  
Tension Band ◽  
Wire Tension ◽  
Surgical Duration ◽  
Patellar Fractures

AbstractThis study aims to compare the clinical outcomes of the nickel–titanium arched shape–memory alloy connector (hereafter referred to as the ASC) and tension band fixation for the treatment of transverse patellar fractures. We retrospectively analyzed a total of 257 patients with transverse patellar fractures who were treated at our emergency orthopaedics department from March 2010 to March 2017. Either an ASC or the Kirschner wire (K-wire) tension band had been used to treat these fractures according to surgeons' experience and preference. We compared operative details, postoperative recovery, and postoperative knee function at 6 months. In terms of surgical duration, blood loss, incision length, length of hospital stay, and postoperative complications, patients in the ASC group showed significantly better results than patients in the K-wire group (p < 0.05). There were no significant differences between the two groups in terms of fracture healing time, knee mobility, and the Boström score at the postoperative 6-month evaluation (p > 0.05). Though, there were similar functional outcomes between two groups whose transverse patellar fractures were different methods, we found that the ASC method was a more reliable, more minimally invasive, and safer treatment option than the tension band wiring method using K-wires, resulting in less tissue damage, shorter surgical duration, shorter length of hospital stay, and fewer complications.

scholarly journals Treatment of Patellar Fracture With Kirschner Wire Tension Band With Absorbable Sutures

2021 ◽  
Author(s):  
shilong Jin ◽  
Fengwei Qin ◽  
qiyuan Chen ◽  
jinfang Hu ◽  
libin Wei ◽  
...  
Keyword(s):  
Knee Joint ◽  
Range Of Motion ◽  
Rating Scale ◽  
Kirschner Wire ◽  
Absorbable Suture ◽  
Patella Fracture ◽  
Test Form ◽  
Absorbable Sutures ◽  
Patella Fractures

Abstract Study designRetrospective cohort studyObjectiveTension band wiring is considered the standard treatment for patella fractures. However, it is limited for fractures with marginal involvement, comminution, and osteoporotic bone. Our experience indicates that these limitations can be overcome with the technique of Kirschner wire combined with absorbable suture. We evaluated the radiographic and clinical outcomes in patients with patella fracture treated with this new technology.MethodsWe enrolled 32 patients who underwent the new technology for patella fracture at our hospital between 2018 and 2019. Fracture classification and surgical options were reviewed. Numerical Rating Scale (NRS), Levack score system, WOMAC test form of pain, stiffness and function, and knee joint range of motion (ROM) were applied for functional evaluation.Results32 patients were followed up for an average follow-up time of 13 months (11 to 24 months). All fractures were unioned, no wound infection, Kirschner wire exposure and second displacement of fracture fragment was found. None of the patients had knee stiffness, and the range of motion of the knee was 125.6° (110-135). The average NRS for knee pain was 7.5 (6-9) preinjury and 0.5 (0-2) at the last follow-up. Knee joint function recovered well, excellent and good rate was 93.75% (30/32). The average Levack score was 10.0 (6-12), which included twenty evaluations of “excellent” and twelve of “good”. WOMAC averaged 22.5 (14 - 38).ConclusionThe combination of Kirschner wire and absorbable suture for patella fractures is simple and clinically satisfactory, restores knee function well, and is a worthy orthopedic method.

scholarly journals The additional iron cable fixation between proximal patella and tibial tuberosity to treat AO/OTA 34C3 patellar fracture

2020 ◽  
Author(s):  
Dongzheng Zhang ◽  
Yong Shen
Keyword(s):  
Statistical Difference ◽  
Kirschner Wire ◽  
Operation Time ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Patellar Fracture ◽  
Wire Tension ◽  
Significant Statistical Difference ◽  
Cable Fixation ◽  
Additional Iron

Abstract Background: It is very difficult to deal with AO/OTA 34C3 patellar fracture. Although the modified Kirschner wire tension band, the cerclage and plate has been proposed to treat it, the result is not very good. We found that if the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been carried out, the additional iron cable fixation between proximal patella and tibial tuberosity could resolve it effectively.Methods: Retrospective analysis was completed. 21 patients with AO/OTA 34C3 patellar fracture were treated in our department from January 2014 to January 2018. They were divided into 2 groups according to the operation plan. Group 1 (normal group), with 12 patients, was treated with modified Kirschner wire tension band with or without cerclage cable. Group 2 (cable group), with 9 patients, was treated with the additional iron cable fixation between proximal patella and tibial tuberosity when the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been completed.Results: The two groups of the age, sex ratio, trauma mechanism, operation time, free articular fragment, comorbidity and follow-up time had no significant statistical difference (P>0.05). There was no significant statistical difference between the two groups of the clinical results. (such as Bostman total score and its specific individual score, the excellent and good ratio, the complications, and the bone union time, etc.) (P>0.05).Conclusions: To deal with AO/OTA 34C3 patellar fracture, when the fixation of modified Kirschner wire tension band with or without the cerclage cable is not firm enough, the additional iron cable fixation between proximal patella and tibial tuberosity can resolve it effectively.

scholarly journals Comparison of the Therapeutic Effects of Tension Band with Cannulated Screw and Tension Band with Kirschner Wire on Patella Fracture

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Chengwu Liu ◽  
Haitao Ren ◽  
Chunyan Wan ◽  
Jianlin Ma
Keyword(s):  
Knee Flexion ◽  
Kirschner Wire ◽  
Cannulated Screw ◽  
Tension Band ◽  
Therapeutic Effects ◽  
Patella Fracture ◽  
Curative Effect ◽  
Treatment Methods ◽  
Functional Exercise

Background. Patella fracture accounts for 1% of bone injury, of which anatomical reduction is of great significance to the recovery. Tension band with cannulated screw and Kirschner wire is commonly used methods for the treatment of displaced patella fracture. However, there is still some controversy on the clinical efficacy of the two treatment methods. Objective. This study aimed at comparing the therapeutic effects of the cannulated screw and Kirschner wire tension bands on patella fracture and at providing more data basis for clinical selection of treatment methods for patella fracture. Methods. Altogether, 146 patients with displaced patella fracture admitted to our hospital from March 2016 to February 2018 were selected and divided into two groups according to the different treatment methods. Among them, 71 patients received tension band with a cannulated screw (TBWCS group) and 75 patients received tension band with Kirschner wire (TBWKW group). Two groups of patients were compared in terms of surgical treatment effect after one year of treatment, complications within six months after the operation and operation-related indexes. The pain visual analogue scale (VAS) score, knee flexion degree, Lysholm score, and Bostman score were recorded at 1, 3, 6, and 12 months after operation, and the activity of daily living scale (ADL) score was evaluated at the last follow-up. Results. During the operation of patella fracture patients, the intraoperative blood loss, hospitalization time, and knee flexion loss of patients in TBWCS group were less than those in the TBWKW group (P<0.05), the starting time of postoperative functional exercise was earlier than that of patients in TBWKW group (P<0.05), and the incidence rate of secondary operation was lower than that of patients in the TBWKW group (P<0.05), but there was no statistical difference in the operation time, incision length, and postoperative fracture gap between the two groups. The results of curative effect analysis showed that the knee flexion, Lysholm score, and Bostman score of patients treated with tension band with cannulated screw were higher than those treated with Kirschner wire (P<0.05), and VAS score was lower. Tension band with cannulated screw had a better curative effect on patella fracture (P<0.05), lower complication rate (P<0.05), and higher quality of life of patients (P<0.05). Conclusion. Tension band with cannulated screw has a good curative effect on patella fracture, low incidence of complications, early start of postoperative functional exercise, and high quality of life.

scholarly journals The additional iron cable fixation between proximal patella and tibial tuberosity to treat AO/OTA 34C3 patellar fracture

2020 ◽  
Author(s):  
Dongzheng Zhang ◽  
Yong Shen
Keyword(s):  
Statistical Difference ◽  
Kirschner Wire ◽  
Operation Time ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Patellar Fracture ◽  
Wire Tension ◽  
Significant Statistical Difference ◽  
Cable Fixation ◽  
Additional Iron

Abstract Background:It is very difficult to deal with AO/OTA 34C3 patellar fracture. Although the modified Kirschner wire tension band, the cerclage and plate has been proposed to treat it, the result is not very good. We found that if the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been carried out, the additional iron cable fixation between proximal patella and tibial tuberosity could resolve it effectively.Methods:Retrospective analysis was completed. 21 patients with AO/OTA 34C3 patellar fracture were treated in our department from January 2014 to January 2018. They were divided into 2 groups according to the operation plan. Group 1 (normal group), with 12 patients, was treated with modified Kirschner wire tension band with or without cerclage cable. Group 2 (cable group), with 9 patients, was treated with the additional iron cable fixation between proximal patella and tibial tuberosity when the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been completed.Results:The two groups of the age, sex ratio, trauma mechanism, operation time, free articular fragment, comorbidity and follow-up time had no significant statistical difference (P>0.05). There was no significant statistical difference between the two groups of the clinical results. (such as Bostman total score and its specific individual score, the excellent and good ratio, the complications, and the bone union time, etc.) (P>0.05).Conclusions:To deal with AO/OTA 34C3 patellar fracture, when the fixation of modified Kirschner wire tension band with or without the cerclage cable is not firm enough, the additional iron cable fixation between proximal patella and tibial tuberosity can resolve it effectively.

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