Jin-Ho Cho1. 1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
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. MATERIALS 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.
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. MATERIALS 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.
Entities:
Keywords:
Cannulated screw; Fracture; Modified tension band technique; Patella; Percutaneous surgery
Authors: Clemens Gwinner; Sven Märdian; Philipp Schwabe; Klaus-D Schaser; Björn Dirk Krapohl; Tobias M Jung Journal: GMS Interdiscip Plast Reconstr Surg DGPW Date: 2016-01-18
Authors: Kai Fehske; Markus T Berninger; Lena Alm; Reinhard Hoffmann; Johannes Zellner; Clemens Kösters; Stefan Barzen; Michael J Raschke; Kaywan Izadpanah; Elmar Herbst; Christoph Domnick; Jan Philipp Schüttrumpf; Matthias Krause Journal: Unfallchirurg Date: 2020-12-17 Impact factor: 1.000