TENSION BAND WIRING OF TRANSVERSE FRACTURE PATELLA: STILL STANDS PROUD IN ERA OF MULTIMODIAL MANAGEMENT TECHNIQUES
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 9
Abstract
Introduction: Patella is an important bone of the body with role in knee biomechanics as well as knee joint formation. Displaced fractures need to be reduced meticulously to reconstruct the joint. There are diverse patterns of fracture of patella and at the same time various fixation methods for a single fracture type. Many new techniques have emerged in recent times including screw and wire, plating, etc. Tension Band Wiring (TBW) is a time tested procedure with excellent results. We have conducted this study to further stress the importance of this technique in transverse fracture patella. Objectives: To study functional outcomes of patients treated with TBW in terms of range of motion, quadriceps strength, time to union. Study design: Prospective and retrospective observational study. Material and methods: This was a prospective and retrospective hospital based study of patients with road traffic injuries presenting to Orthopaedic emergency department of Dayanand Medical College and Hospital, Ludhiana, India. Data was collected in a predesigned proforma including patient and injury details. Results: Age group ranged from 22 to 77 years (mean 40.46 years). 73% (n=19) patients were males, similarly 73% (n=19) fractures were on right side. Majority (77%, n=20) were road accident victimsl. Out of 26 patients that were followed up, six patients had union evident by 10 weeks (n=6; 23.1%). The mean radiographic union time was 12.77 weeks. Twenty two out of twenty six of our patients had no pain (n=22; 84.6%), range of motion more than 90° and final quadriceps strength >75%. Conclusion: TBW patella is a valuable procedure in transverse displaced fracture patella, is safe, quick and time tested technique with good functional outcomes and lesser complications. With the ready availability of simple instruments and implants, this is a universally gold standard technique for AO type C1 type of fractures of patella.
Authors and Affiliations
Pankaj Mahindra, Prabhjeet Singh, Rajnish Garg, H. S. Selhi, Deepak Jain, Lukesh Mittal
Keywords
Related Articles
- EP ID EP628763
- DOI -
- Views 51
- Downloads 0
A Comparative Study on Metabolic Syndrome Using Different Criteria Among Rural Post-Menopausal Women in Singur, West Bengal, India
Prevalence of Metabolic Syndrome (MS) among rural post-menopausal women using three different criteria was conducted among 116 post-menopausal women from five villages of Singur, West Bengal, India in order to assess the...
UTILISATION OF NURSING THEORIES IN NURSING PRACTICE – A REVIEW
Nursing theorists have contributed towards the development of a body of knowledge to the profession. Benefits of having a definite body of knowledge include quality patient care and improved professional status. Nurses n...
AES DUE TO SCRUB TYPHUS IN 2014 ASSAM, INDIA- A REPORT
Background: Acute encephalitic syndrome ( AES) is a complication of Scrub typhus(ST), an important re-emerging disease in India. In Japanese encephalitis(JE) endemic Assam, non JE AES cases remain under diagnosed and ST...
AN ANALYSIS OF THE IMPACT OF QWL ON ORGANIZATIONAL COMMITMENT – A STUDY ON SELECT IT COMPANIES
QWL – a much talked in issue and maximum practiced but gets derailed in the process of operations. In the current globalised environment IT sectors had been expanding in an exponential manner. In this race their only foc...
BEHAVIOUR OF ANAPLASTIC THYROID CARCINOMA IN TERTIARY CARE CENTRE, SOUTH INDIA.
INTRODUCTION: Anaplastic thyroid cancer (ATC) is one of the most aggressive solid tumors to affect humans, with a median survival on the order of 3 to 5 months following diagnosis [1]. Recent advances in understanding th...