A Prospective Clinical Study of Patellar Fractures Treated by Modified Tension Band Wiring

Authors

  • Nagaraju K Assistant Professor, Department of Orthopaedics, Government Medical College, Nalgonda, Telangana, India
  • Prabhu Dheer Bhogadi Associate Professor, Department of Orthopaedics, Government Medical College, Nalgonda, Telangana, India
  • M. Lakshmi Narayana Associate Professor, Department of Orthopaedics, Government Medical College, Nalgonda, Telangana, India

Keywords:

Tension band wiring, Fracture, patella, West criteria, transverse fracture.

Abstract

Bacground: The Management of Patellar fractures is varied from simple excision to reconstruction of patella by various procedures. The restoration of the patella to normal alignment & retaining its function would be the ideal treatment for the effective function of quadriceps mechanism and the knee joint.Aim & Objective: To evaluate the clinical outcome of modified tension band wiring for fractures of patella. Methodology: In our study, 20cases of fracture patella treated by modified tension band wiring at Govt Medical College, Nalgonda, between November 2018 to October 2020 have been studied.Results: A total of 20 cases of fracture of patella were included in the study. Fracture of patella can occur at any age, but it occurs very rarely below 20years. In Our series the range of age was between 19 - 57years, the mean age was about 47.5 years and the incidence was high in the age group of 41-50 years. In our study, fall was the main mode of injury in 12 cases which constitutes 60% and RTA was reported in 8 cases constituting 40%. Of the 20 cases 16 (80%) were simple transverse fractures where as 4 (20%) cases were communited. Cases were regularly followed up and findings have been recorded. The results were evaluated based on “WEST CRITERIA”. 16 out of 20 cases were excellent, 3 cases were good and 1 was poor.Conclusion: Finally we conclude that, modified tension band wiring is a good procedure for fracture patella if done properly on a selected case.

Downloads

Published

2021-07-31

How to Cite

Nagaraju K, Prabhu Dheer Bhogadi, & M. Lakshmi Narayana. (2021). A Prospective Clinical Study of Patellar Fractures Treated by Modified Tension Band Wiring. International Journal of Health and Clinical Research, 4(13), 28–31. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2055