A Prospective Clinical Study of Patellar Fractures Treated by Modified Tension Band Wiring
Background and objectives: Patellar fractures are common and it constitutes about 1% of all skeletal injuries resulting from either direct or indirect trauma. The subcutaneous location of the patella makes it vulnerable to direct trauma Any improper and inadequate treatment would inevitably lead to a great deal of disability which would be most perceptibly felt in a country like India, where squatting is important activity in daily life. Objectives: The objectives of the study are: 1. The advantage of this method of fixation in patellar fractures; 2. The complications associated with this method of fixation. Methods: This prospective study is done in Department of Orthopaedics at Mamata General Hospital, Mamata Medical College, Khammam –AndhraPradesh, during the period from April 2011 to Aug2012. This study consists of 30 cases of displaced transverse fracture patella treated by modified tension band wiring. Results: In our series the range of age was between 14-72 years, the mean age was 42.05 years and the incidence was high in the age group of 41-50 years. 22 fractures were in men and 8 fractures were in females. 20 fractures were as a result of indirect mechanism and 10 cases were due to direct trauma to the patella as in Road traffic accident. 17 patients had fracture on the right side and 13 patients had fracture on the left side. Based on WEST’S Criteria our results were graded as excellent in 26 cases (86.6%), good in 3 cases (10%) and poor in 1 case (3.3%).Conclusion: Our study shows that modified tension band wiring is a definitive procedure in management of displaced transverse patellar fracture with least complications. This surgery of modified tension band wiring helps for early mobilization post-operatively which plays an important role in final out come
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