A Double Cerclage and Tension band Wiring Technique Fixation for Comminuted Patellar Fractures | ||
| Kirkuk Journal of Medical Sciences | ||
| Articles in Press, Accepted Manuscript , Available Online from 02 January 2023 | ||
| Document Type: Original research | ||
| DOI: 10.32894/kjms.2023.137538.1052 | ||
| Author | ||
Yousif Rashid Mohammed  | ||
| college of medicine - HMU - Department of surgery - Lecturer | ||
| Abstract | ||
| Abstract: Background and objectives: When the patella is fractured it should be repaired and patellectomy should be avoided as much as possible even in comminuted fractures. In comminuted patellar fractures, a combination of cerclage wiring and tension band fixation is confirmed to provide good mechanical stability. Patients and methods: Forty- six patients underwent surgical stabilization for comminuted patellar fracture between year 1996 to 2016 . All fractures were classified as 34-C3 according to the Orthopaedic Trauma Association classification. All the patients were underwent open reduction- internal fixation with combined Cerclage and tension band wiring technique. Results: Fracture healing was occurred within an average of 3- 5 months, while in bilateral cases it was 4 - 8 months. Full range of knee movements was seen in 42 ( 91.3 % ) cases and knee flexion more than 120º was seen in 4 ( 8.7 % ) cases. Quadriceps power was normal in 44 ( 95.6 % ) cases but 2 cases had quadriceps power of grade-IV. No extensor lag and no quadriceps atrophy was seen in any cases . Forty four ( 95.6 % ) patients could squat fully and two ( 4.3 % ) patients could squat up to half of the normal level. All patients were able to climb up and down stairs without any problem. Conclusion: This study had concluded that combined Cerclage and tension band wiring technique was a successful surgical treatment for comminuted fractures of the Patella. | ||
| Keywords | ||
| Comminuted Patella Fracture,,; ,،,؛Cerclage wiring,,; ,،,؛Tension band wiring | ||
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