ORIF with Tension band wiring in transverse fractures of the patella-A prospective study
Article Sidebar
-
Lysholm score, ORIF, Patella, TBW
Abstract
Fractures of the patella account for 1% of all fractures and can be managed by both conservative and surgical means. By this study, we aimed to evaluate the functional outcome following ORIF (Open reduction and internal fixation) of transverse patellar fractures with TBW (Tension band wiring). Thirty patients with patellar fractures who presented between June 2011 to June 2014 were managed surgically and were followed up for three years. Functional analysis was performed using the Lysholm scoring system. The patients in our study had a mean age of 42.86 years ranging from 19 to 71 years. There were 18 males and 12 females in our study with the right knee being more commonly affected. The mean surgical time was 57.66 minutes ranging from 45 to 70 minutes, and the average blood loss was 180.5 ml ranging from 160 to 210 ml We were able to achieve a 100% union rate in our series with the average time to fracture union being 11.83 weeks. The mean Lysholm score was 87.80 11.20. All patients were satisfied with the functional outcome and were able to return to activities of work and daily living to the best possible extent. ORIF with TBW is an effective treatment option in the management of transverse fractures of the patella, and it gives good radiological and functional outcomes to the patients.
Full text article
References
Agarwala, S., Agrawal, P., Sobti, A. 2015. A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates. Journal of Clinical Orthopaedics and Trauma, 6(3):207–211.
Boström, Å. 1972. Fracture of the Patella: A Study of 422 Patellar Fractures. Acta Orthopaedica Scandinavica, 43(sup143):1–80.
Camarda, L., Gattuta, A. L., Butera, M., Siragusa, F., D’Arienzo, M. 2016. FiberWire tension band for patellar fractures. Journal of Orthopaedics and Traumatology, 17(1):75–80.
Carpenter, J. E., Kasman, R., Matthews, L. S. 1993. Fractures of the Patella. The Journal of Bone & Joint Surgery, 75(10):1550–1561.
Egol, K., Howard, D., Monroy, A., Crespo, A., Tejwani, N., Davidovitch, R. 2014. Patella fracture fixation with suture and wire: you reap what you sew. Iowa Orthop J, 34:63–67.
Gardner, M. J., Griffith, M. H., Lawrence, B. D., Lorich, D. G. 2005. Complete Exposure of the Articular Surface for Fixation of Patellar Fractures. Journal of Orthopaedic Trauma, 19(2):118–123.
Hoshino, C. M., Tran, W., Tiberi, J. V., Black, M. H., Li, B. H., Gold, S. M., Navarro, R. A. 2013. Complications Following Tension-Band Fixation of Patellar Fractures with Cannulated Screws Compared with Kirschner Wires. The Journal of Bone and Joint Surgery, 95(7):653–659.
Levack, B., Flannagan, J. P., Hobbs, S. 1985. Results of surgical treatment of patellar fractures. J Bone Joint Surg Br, 67(3):416–419.
Melvin, S. J., Mehta, S. 2011. Patellar Fractures in Adults. American Academy of Orthopaedic Surgeon, 19(4):198–207.
Ong, T. K., Chee, E. K., Wong, C. L., Thevarajan, K. 2008. Fixation of Comminuted Patellar Fracture with Combined Cerclage and Tension Band Wiring Technique. Malaysian Orthopaedic Journal, 2(2):40–42.
Qi, L., Chang, C., Xin, T., Xing, P. F., Tianfu, Y., Gang, Z., Jian, L. 2011. Double fixation of displaced patella fractures using bioabsorbable cannulated lag screws and braided polyester suture tension bands. Injury, 42(10):1116–1120.
Rathi, A., Swamy, M. K. S., Prasantha, I., Consul, A., Bansal, A., Bahl, V. 2012. Percutaneous Tension Band Wiring for Patellar Fractures. Journal of Orthopaedic Surgery, 20(2):166–169.
Tandogan, R. N., Demirors, H., Tuncay, C. I., Cesur, N., Hersekli, M. 2002. Arthroscopic-assisted percutaneous screw fixation of select patellar fractures. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 18(2):156–162.
Taylor, B. C., Mehta, S., Castaneda, J., French, B. G., Blanchard, C. 2014. Plating of Patella Fractures. Journal of Orthopaedic Trauma, 28(9):e231–e235.
Us, A. K., Kinik, H. 1997. Self locking tension band technique in transverse patellar fractures. Inter- national Orthopaedics, 20(6):357–358.
Wild, M., Eichler, C., Thelen, S., Jungbluth, P., Windolf, J., Hakimi, M. 2010. Fixed-angle plate osteosynthesis of the patella – An alternative to tension wiring? Clinical Biomechanics, 25(4):341– 347.
Zhang, C., et al. 2019. Modified Two-Tension-Band for Patellar Fractures. Journal of International Medical Research, 0(0):1–10.
Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.