Management of patella fractures with different modalities

Authors

  • Chokkarapu Ramu Department of Orthopaedics, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India http://orcid.org/0000-0003-2281-2192
  • Rajender K. Department of Orthopaedics, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India
  • Anjaneyulu B. Department of Orthopaedics, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India
  • Keertana B. Department of Orthopaedics, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India
  • Shanmuga Raju P. Department of Physical Medicine and Rehabilitation, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191455

Keywords:

Patella, Cannulated screw tension band, Modified K-wire tension band

Abstract

Background: Patella fracture is quite a common injury for all ages of patients, constituting approximately 1% of all skeletal injuries. Patella is the largest sesamoid bone in the body. The aim of study was to assess the functional outcome of patella fractures treated with modified tension band wiring using K wires and cannulated cancellous screws with tension band construct.

Methods: This study was a prospective clinical study to be conducted at the Department of Orthopaedic Surgery, Chalameda Anand Rao Institute of Medical Sciences, Karimnagar from October 2016 to November 2018. Total, 20 patients with transverse patellar fractures were studied and divided into 2 groups according to the surgical technique: 10 patients were in the MKTB group and 10 patients in the CSTB group.

Results: Total 20 patella fractures were included in this study. The Bostman’s score of ROM, pain, atrophy of quadriceps femoris, and effusion were all higher in the CSTB group than in the MKTB group.

Conclusions: We conclude that compared with the MKTB technique, CSTB fixation is an effective surgical procedure for treatment of displaced transverse patellar fractures.

Author Biography

Chokkarapu Ramu, Department of Orthopaedics, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India

-

References

Weber MJ, Janecki CJ, McLeod P, Nelson CL, Thompson JA. Efficacy of various forms of fixation of transverse fractures of the patella. J Bone Joint Surg Am. 1980;62:215-20.

Ashby ME, Shields CL, Karmy JR. Diagnosis of osteochondral fractures in acute traumatic patellar dislocations air arthrography. J Trauma. 1975;15:1032-3.

Shrestha P, Chalise P, Paudel S, Shah RK. Comparative study of modified tension band wiring versus tension band through parallel Cannulated Cancellous Screws in Patella Fractures. Open Ortho Res J. 2018.

Mehling I, Mehling A, Rommens PM. Comminuted patellar fractures. Curr Orthop. 2006;20(6):397-404.

Tandogan RN, Demirors H, Tuncay CI, Cesur N, Hersekli M. Arthroscopic-assisted percutaneous screw fixation of select patellar fractures. Arthroscopy. 2002;18(2):156-62.

Hoshino CM, Tran W, Tiberi JV, Black MH, Li BH, Gold SM, et al. Complications following tension band fixation of patellar fractures with cannulated screws compared with Kirschner wires. J Bone Joint Surg Am. 2013;95:653-9.

Lazaro LE, Wellman DS, Sauro G, Pardee NC, Berkes MB, Little MT, et al. Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. J Bone Joint Surg Am. 2013;95(14):e96.

Dargel J, Gick S, Mader K, Koebke J, Pennig D. Biomechanical comparison of tension band and inter fragmentary screw fixation with a new implant in transverse patella fractures. Injury. 2010;41:156-60.

Tian Y, Zhou F, Ji H, Zhang Z, Guo Y. Cannulated screw and cable are superior to modified tension band in the treatment of transverse patella fractures. Clin Orthop Relat Res. 2011;469:3429-3435.

Baydar ML, Atay T, Gurbuz O. Compressive screwing of transverse patella fractures provides better resistance to traction than tension band. Eur J Orthop Surg Traumato. 2011;21(2):105-10.

Downloads

Published

2019-04-26

Issue

Section

Original Research Articles