Braided, double stranded ss wire tension band wiring for patella fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Purpose of study Various surgical methods of treatment have been described in literature for displaced patella fracture. Though open reduction and tension band wiring is most commonly performed other fixation methods procedures like cancellous screws, external fixation, encirclage, fibre wire etc. have been described. to date there are no studies to show the efficacy of using braided , double stranded SS wire for patella fractures. We used braided double stranded SS wire tension band wiring for displaced patella factures and found good union rates and low complication rates. Material and Methods Twelve cases of displaced two part fractures have been included in the study between Jan 2015 to December 2016. All the cases were operated by the same surgical team. Routine preoperative clinic radiological examination was done. Cases included in the study underwent open reduction of patella fractures by standard anterior approach. No 20 SS wire is braided with the help of drill. After open reduction tension band wiring with braided stainless steel (SS) wire was done. Postoperatively patients were followed at 6 wks ,3 months and 6 months. Conclusion Tension band wiring with a braided double strand SS wire results in more stable and rigid fixation. Because of early mobilization the fracture union is early and better knee range of movements. Incidence of complications like implant failure, knee stiffness and refracture are less compared to classical tension band wiring with single stranded SS wires.
Authors and Affiliations
Ashok Kumar P, Yashwanth Kumar C, Trilok V, Shreel Koirala
Keywords
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