Young Min Lee; Kook Jin Chung; Ji Hyo Hwang; Hong Kyun Kim; Yong Hyun Yoon

doi:10.12671/jkfs.2014.27.3.206

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Original Article
Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture: Young Min Lee, M.D., Kook Jin Chung, M.D., Ji Hyo Hwang, M.D., Ph.D., Hong Kyun Kim, M.D., Yong Hyun Yoon, M.D.; Journal of the Korean Fracture Society 2014;27(3):206-212.
DOI: https://doi.org/10.12671/jkfs.2014.27.3.206
Published online: July 16, 2014

Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Address reprint requests to: Kook Jin Chung, M.D. Department of Orthopaedic Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1 Singil-ro, Yeongdeungpo-gu, Seoul 150-950, Korea. Tel: 82-2-829-5435, Fax: 82-2-834-1728, chungkjmd@dreamwiz.com

• Received: November 25, 2013 • Revised: May 12, 2014 • Accepted: May 12, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study is to evaluate the results of tension band wiring and additional circumferential wiring in treatment of comminuted patella fractures.
Materials and Methods
A retrospective study of 67 patients with follow-up period longer than six months who underwent tension band wiring and additional circumferential wiring for comminuted patellar fracture from January 2004 to December 2012 was conducted. Analysis was based on radiological evaluation of bony union and articular surface displacement, and clinically by evaluating the postoperative function of the knee joint using the Levack scoring system.
Results
Only one case out of 67 (1.5%) showed nonunion without metal breakage while good bone union was achieved in all other cases. Excluding the nonunion case, range of motion was 90 degrees minimum, 135 maximum, 129 on average. Average displacement was less than 2 mm, and 64 out of 67 cases showed satisfactory outcome with excellent functional score according to the Levack scoring system.
Conclusion
Tension band wiring and additional circumferential wiring technique for treatment of comminuted patella fractures can be considered as an effective treatment for achievement of good bone union and restoration of normal knee function.
Key words: Patella, Comminuted fractures, Tension band wiring, Cerclage wiring

Financial support: None.

Conflict of interest: None.

REFERENCES

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Fig. 1

(A) Preoperative radiographs of a 37-year-old male patient show comminuted and displaced fracture of patella. (B) Postoperative radiographs show well reduced bony fragments by tension band wiring and additional circumferential wiring.

Fig. 2

(A) Preoperative radiographs of a 43-year-old man show a comminuted patella fracture by a fall from a standing height. (B) Immediate postoperative radiographs show that the fragments are well stabilized by tension band wiring and additional circumferential wiring. (C) Loss of reduction was observed at four months after surgery. (D) Reoperation was performed using the same technique and good reduction of the fragments was achieved.

Table 1

Scoring System (According to Levack)

Figure & Data

REFERENCES

Citations

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

J Korean Fract Soc. 2014;27(3):206-212. Published online July 31, 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.3.206

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

Fig. 1 (A) Preoperative radiographs of a 37-year-old male patient show comminuted and displaced fracture of patella. (B) Postoperative radiographs show well reduced bony fragments by tension band wiring and additional circumferential wiring.

Fig. 2 (A) Preoperative radiographs of a 43-year-old man show a comminuted patella fracture by a fall from a standing height. (B) Immediate postoperative radiographs show that the fragments are well stabilized by tension band wiring and additional circumferential wiring. (C) Loss of reduction was observed at four months after surgery. (D) Reoperation was performed using the same technique and good reduction of the fragments was achieved.

Fig. 1

Fig. 2

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

Table 1

Scoring System (According to Levack)

Table 1 Scoring System (According to Levack)