Vertical and figure of eight fibre wiring for patella fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Displaced patella fractures need to be treated by internal fixation for achieving good outcome. Metallic hardware related pain and irritation are one among the many reasons for reoperations. Fracture displacement can happen due to early mobilisation depending on bone quality and fracture pattern. The aim of our study was to evaluate the postoperative outcome and complication rates of patella fractures fixed with fibre wires in a vertical and figure of eight pattern. Methods: We retrospectively followed up all patella fractures fixed using fibre wires utilising Krackow stitches through patellar tendon, longitudinal fixation through fracture fragments and figure of eight wiring on anterior patella. We evaluated their clinical outcome, range of movement, time to union and complication rates. We also evaluated these for arthritic scenario and different fracture patterns. Results: We had 22 patients (mean age 50.7) with a mean follow up of 22.7 months, mean Bostman score of 23.5, mean range of movement 1150 and mean time to union 13.5 weeks. Arthritic patients though united without any complications had an unsatisfactory score. None of the patients developed any hardware related complications, fracture displacement or needed an implant removal. Conclusion: Fibre wires can be used in vertical and figure of pattern for achieving fracture union with good clinical outcome without fracture displacement or symptomatic hardware problems.
Authors and Affiliations
Dr. James C George, Dr. Koshy George, Dr. Samuel Chittaranjan, Dr. Shiby John, Dr. Ajith Abraham Thomas, Dr. Fawas Thamarassery
Keywords
Related Articles
- EP ID EP500454
- DOI 10.22271/ortho.2017.v3.i3l.128
- Views 120
- Downloads 0
Non-surgical treatment of knee ligamentous lesions
Introduction: Knee trauma is very common and sometimes compromises its stability. The treatment of these lesions is more and more surgical, but nonsurgical treatment remain having an importance in the management. The pur...
Evaluation of the ulnar styloid base on outcome after plate-and-screw fixation of a distal radial fracture: Unrepaired fracture
Background: The impact of an unrepaired fracture of the ulnar styloid base on recuperation after inside obsession of a fracture of the distal piece of the sweep is unverifiable. We assessed a progression of patients with...
The role of entry point and correct reduction in post-operative outcome of intertrochanteric femur fractures treated by short and long proximal femoral nails
Introduction: This study was performed in the department of orthopaedics, VIMSAR, Burla between July 2015 and June 2017 for evaluation of outcome of the surgical treatment of patients with intertrochanteric fracture trea...
A prospective study of locking plate fixation in tibial plateau fractures
Introduction: Originally described as the fender fracture tibial plateau fractures resulted primarily from low-energy pedestrian versus car bumper accidents. The majority of tibial plateau fractures reported in the recen...
A systematic review: Of acromion types and its effect on degenerative rotator cuff tear
Background: Shoulder joint pain is commonly seen in primary care. Were many of them diagnosed with rotator cuff disease especially involvement of supraspinatus tendon of rotator cuff. The progression of disease leads to...