Abstract
Objectives: Our study was to evaluate the clinical and functional outcome of patients with patella fracture by the use of modified tension band wiring technique.
Methodology: A total of 20 patients with patella fracture were taken. A detail history, examination and relevant investigation were done to all patients. Modified tension band wiring procedure was performed for the management of patients with patella fracture.
Results: Data was analyzed by using simple statistical methods with the help of MS-Office software.
Conclusions: Middle age group patients were more prone to patella fracture. Common mode of patella fracture was accidental fall on the same plane. Gold standard technique for the management of the transverse fractures of patella was modified tension band wiring. Early mobilization of joint after the procedure was most effective for achievement of good functional outcome.
Keywords: Patella fracture, modified tension band wiring technique, outcomes.
References
- Wiberg G. Roentgenographic and anatomic studies on the femoro-patellar joint. Acta Orthop Scand. 1941; 12:319- 410.
- Numini J. Fractures of patella: a clinical study of 170 patellar fractures. Ann Chir gynaecol fenn, 1971; 60(179):1-85.
- Whittle AP. Fractures of lower extremity: Campbell’s operative orthopaedics: 12th edn. 3.
- Weber MJ, Janecki CJ. Efficacy of various forms of fixation of transverse fractures of the patella. J Bone Joint Surg Am. 1980; 62(2):215-20.
- Harris RM. Fractures of patella: Rockwood and Green’s fractures adults: 7 th edn, 2.
- Crenshaw AH, Wilson FD. The surgical treatment of fractures of the patella. South Med J. 1954; 47(8):716-20.
- Levack B, Flannagan JP, Hobbs S. Results of surgical treatment of patellar fractures JBJS 1985; 67B:416-419.
- Bostrom A. "Fractures of the patella: A study of 422 patellar fractures". Acta ortho Scand. 1972; 143:1-80pp.
- Basu Ray S.K. and Ghosh M.S. "Functional end results of patellectomy in fracture of the patella". Ind J Orthop, Vol. 8; 1974:
- Wilkinson J. "Fractures of the patella treated by total excision". J Bone Joint Surg (BR); 1977;59:352-354pp
- Maini PS, Sangwan SS, Sharma S, Chawla P, Kochar A. Rigid fixationof various fractures by tension band wiring. I J Orthop 1986 July; Vol. 20: 162-7.
- Srinivas k, surya PR, Narendranath L, Prasad RV. Evaluation of results of surgical treatment of closed #s of the patella. Ind J Orthop. 1984; 38:104-6.
- Jakobsen, Knud S. Christensen & Ole S. Rasmussen. Patellectomy—a 20-year follow-up Acta Orthopaedica Scandinavica. 1985; 56:5, 430-432, DOI: 10.3109/17453678508994365.
- Edwards SB, Johnell O, Redlund-johnell. Patella fractures- A 30 years follow up-Acta Orthop Scand. 1989; 42(4); 441-7.
Corresponding Author
Dr Nishant Mishra
Post Graduate Trainee, Department of Orthopaedics, Katihar Medical College, Katihar, Bihar, India
Ph: +91 9934808088, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.68
