Evaluation of the Results of Open Reduction and Internal Fixation Tension Band Wiring

The fractures of patella constitute almost 1% of all skeletal injuries resulting from either direct or indirect trauma. Fractures caused by indirect mechanisms result from a violent contraction of the quadriceps. As patella is the principal site of insertion of the quadriceps muscle, it transmits the tensile forces generated by the quadriceps to the patellar ligament. Secondly, the patella effectively increases the lever arm of knee extension mechanism from the axis of knee flexion - extension

To evaluate the results of open reduction and internal fixation TBW 34 case.

To study the detail of open reduction and internal fixation by tension band wiring fracture patella.

To study the operative complication of open reduction and internal fixation with tension band wiring for closed fracture patella.

This was a prospective study conducted at Swasthiyog Hospital Miraj, from May 2005 to May 2007 and total number of cases studied were 34.

Out of 34 cases of patellar fractures treated surgically at our institute 30 were males and 4 were females, with their ratio being 7.5: 1. There were 58.82% right sided and 41.17% left sided fractures, out of 34 cases of patellar fractures treated by TBW. No cases of bilateral involvement were observed. Quadriceps wasting was absent or less than 1.5 cm in 82.34 percentage of cases. Quadriceps wasting was absent or less than 1.5 cm in 82.34 percentage of cases.