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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