Modified Tension Band Wiring Using FiberWire for Patellar Fractures

In comminuted patellar fractures, we performed modified tension band wiring using a FiberWire (Arthrex) instead of the conventional methods. From March 2016 to March 2018, 63 patients with patellar fractures who needed surgical treatment were treated with modified tension band wiring using two Kirsc...

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Bibliographic Details
Published in:Clinics in orthopedic surgery 2019, 11(2), , pp.244-248
Main Authors: Lee, Bong-Ju, Chon, Jegyun, Yoon, Ja-Yeong, Jung, Deukhee
Format: Article
Language:English
Subjects:
Adult
Aged
Bone Wires
Female
Fracture Fixation, Internal - instrumentation
Fractures, Bone - surgery
Fractures, Comminuted - surgery
Humans
Male
Middle Aged
Patella - injuries
Patella - surgery
Technical Note
정형외과학
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Summary:In comminuted patellar fractures, we performed modified tension band wiring using a FiberWire (Arthrex) instead of the conventional methods. From March 2016 to March 2018, 63 patients with patellar fractures who needed surgical treatment were treated with modified tension band wiring using two Kirschner wires (K-wires) and FiberWire. We inserted two 1.6-mm K-wires perpendicular to the fracture line after accurate reduction. With the knee flexed over 90°, we sutured around the patella using a FiberWire. Visual analog scale score and Levack's score were improved postoperatively. The mean bone union time was 5.6 months. None of the patients had breakage of wires, and nonunion with deformity occurred in one patient. We think that our method can be easier to handle and reduce irritation or breakage of the wires than conventional methods. In addition, early rehabilitation can be allowed. Therefore, we suggest that this method could be a useful method for the treatment of patellar fractures.
ISSN:2005-291X
2005-4408
DOI:10.4055/cios.2019.11.2.244