Percutaneous cannulated screws with tension band wiring technique in patella fractures.
Cho JH. Percutaneous cannulated screws with tension band wiring technique in patella fractures. Knee Surg Relat Res. 2013 Dec;25(4):215-9.
Abstract
INTRODUCTION:
Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2-3 mm of fragment separation and/or articular incongruity.
SURGICAL TECHNIQUE:
This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractures
MATERIAL and METHODS:
We performed 30 cases of displaced transverse patellar fractures with this technique. The clinical outcomes of these patients were evaluated with simple radiographs, range of motion and Lyshom score.
RESULTS:
This technique has shown to provide satisfactory clinical results and excellent knee functions.
CONCLUSIONS:
This technique provide stable fixation, allows early motion exercise by minimizing injury to extensor mechanism and reduce cosmetic problem in scar.
KEYWORDS:
Cannulated screw, Fracture, Modified tension band technique, Patella, Percutaneous surgery
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