Abstract

• The patella, lying within the quadriceps tendon mechanism and subcutaneous in position, is susceptible to the effects of both direct and indirect trauma. Patella fractures are intra-articular injuries and have a significant effect on knee function. The tension band wiring technique is widely used for treating fractures of the patella and is often the treatment of choice.
  We reviewed tweenty nine cases of cemminuted fracture of the patella treated with surgical methods from Jan. 1989 to Mar. 1995 and fellowed up more than one year, from the department of of hopedic surgiry, Kangnam Sacred Heart Hospital, Hallym University.
  The results were as follows:
  1. According to the classincation of Bostman, there were 6 cases(20.7%) of type 1.16(55.2%) of II A, 5(17.2%) of II B and 2(6.9%) of III.
  2. Of tweenty nine cases, tweenty six(89.7%) were treated by modified tension band wiring with cerclage wiring (MTBW with CW) and three(10.3%) by partial patellectomy with cerclage wiring(PP with CW).
  3. Among tweenty six cases treated with MTBW with CW. tweenty one cases(76.9%) revealed a good or exellent result according to the Cincinnati rating system.
  4. Especially, among 5 cases of type II B & 2 cases of type III comminuted fracture treated with MTBW with CW, 5 cases(73.4%) revealed good result. We concluded that the use of modified tension band wiring with cerclage wiring for the comminuted fracture of patella has been shown to be a satisfactory method.
• Key words: Patella, Comminuted Fracture, Modified Tension Band Wiring, Cerclage Wiring

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
  Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
  Journal of the Korean Fracture Society.2014; 27(3): 206.     CrossRef