A CLINICAL STUDY OF SURGICAL MANAGEMENT OF FRACTURE PATELLA WITH MODIFIED TENSION BAND WIRING
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 63
Abstract
BACKGROUND Fractures of the patella are common and constitute almost 1% of all skeletal injuries. The patella is important for the extension of the knee joint. Several methods of internally fixing the fractured patella have been advocated. This study is directed towards the clinical evaluation of the modified tension band wiring technique for the fractured patella. MATERIALS AND METHODS The present study consists of 15 cases with fracture patella treated with modified tension band wiring during the period from October 2014 to October 2016 at govt. general hospital, Kurnool. RESULTS All cases were operated using a midline anterior vertical skin incision, 80% had excellent results, with normal squatting, gradeV quadriceps power and complete range of movement at knee joint.20% of cases had difficulty in squatting, grade-IV quadriceps power and limitation of flexion. Minimal quadriceps wasting seen in 20% of cases. CONCLUSION From the analysis of the present study modified tension band wiring is the gold standard technique in management of transverse fracture patella.
Authors and Affiliations
Yerakula Ramana, Dema Rajaiah, Kuppa Srinivas, Kolathuru Sudhaker, Bommala Sivaiah, Bandakadi Sreekanth Reddy, Nandyala Vishnu Priya, Bandi Amar Tej
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