The Journal of Community Health Management
  • Year: 2015
  • Volume: 2
  • Issue: 4

An experience of treatment of close patellar fractures with tension band wiring

  • Author:
  • Abhijeet Kumar1,, Pashupati Chaudhary2
  • Total Page Count: 4
  • Page Number: 198 to 201

1Medical Officer, Trauma Centre, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005

2Associate Professor, Department of Orthopaedics, BPKIHS, Dharan, Nepal

*Address for Correspondence: Dr. Abhijeet Kumar, Medical Officer, Trauma Centre, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005; Email: abhijeet Kumar55@gmail.com

Online published on 4 February, 2016.

Abstract

Patellar fractures accounts for approximately 1% of all fractures. Prevalence rate is high within the age group of 20 to 50 years and males are twice more commonly affected than females. Transverse fractures are the most common accounting for 50–80% of the patellar fractures whereas comminuted fractures account for 30–35% and the vertical ones for 12–17%.1 The purpose of this study was to find out the results of operative treatment of transverse fractures of patella with tension band wiring.

Fifteen cases of transverse close fracture of patella included in the study. Meantime union was 8–10 weeks. Range of movement was excellent in 9 patients (60%) while 4 patients (26.6%) having fractures with comminuting element had good range of movement. Remaining 2 patients (13.3%) had poor results who failed to follow up. Conclusion: Tension band wiring in fracture of patella with greater than 2 mm displacement or articular step allows early motion and rehabilitation.

Keywords

Fracture Patella, Tension band wiring, Displacement