Syed Mujahid Humail, Shaikh Naeemul Haq, Mohammad Ishtiaque, Ghulam Mustafa Kaimkhani, Qureshi M A.
Management of transverse fracture of Patella by tension band wiring.
Pak J Surg Jan ;25(1):33-6.

Objective. The purpose of study was to evaluate the results of operative management of transverse fractures of patella using tension band wiring technique, regarding the union, function, complication and cosmetics. Study Design: Case series. Setting & Duration: Department of Orthopaedics, Unit I, Dow University of Health Sciences and Civil Hospital, Karachi from June 2006 to December 2007. Methodology: A total number of 45 patients with recent transverse fracture ofpatella were treated with tension band wiring technique. Those patients were selected in which fracture displacement was more than 3 mm. Results: Mean time of union was 8-10 weeks, non-union occurred in two patients (4.401o). Postoperative infection was seen in fivepatients (11016). Range of movement was excellent in 30patients of transverse fracture (66 016) while 10 patients (22.2%) fractures with some communition element had good range of movement. Five had (11.1 %) had poor result who failed to attend regular follow-ups and did not carry the proposed rehabilitation programme. Conclusion: Tension band wiring in fracture of patella with greater than 3mm displaced fragments or articular surface disturbance allows early motion and rehabilitation.

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