Knee Surg Relat Res.  2013 Dec;25(4):215-219. 10.5792/ksrr.2013.25.4.215.

Percutaneous Cannulated Screws with Tension Band Wiring Technique in Patella Fractures

• Cho JH

• KMID: 2230737
• DOI: http://doi.org/10.5792/ksrr.2013.25.4.215

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.

Keyword

Patella; Fracture; Percutaneous surgery; Cannulated screw; Modified tension band technique

MeSH Terms

Cicatrix
Humans
Knee
Patella*
Range of Motion, Articular