Open Reduction and Internal Fixation of Displaced Patella Inferior Pole Fractures With Anterior Tension Band Wiring Through Cannulated Screws
- 1 June 2011
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Orthopaedic Trauma
- Vol. 25 (6), 366-370
- https://doi.org/10.1097/bot.0b013e3181dd8f15
Abstract
To present the treatment outcome for patients with displaced inferior pole patella fractures treated with anterior tension band wiring through cannulated screws. Case series. Academic Level I trauma center. During a 2-year period between January 2007 and December 2008, 10 consecutive patients (mean age, 59.8 years) with distal pole fractures of the patella (Orthopaedic Trauma Association 45.A.1) were prospectively enrolled in this study. All 10 patients underwent vertical skin exposure, fracture open reduction, and internal fixation by anterior tension band wiring through 4.0-mm cannulated screws. The range of motion, loss of fracture reduction, implant migration, material failure, soft tissue irritation, and Bostman score and Short Musculoskeletal Functional Assessment dysfunction score were primary outcome measures. There were three single-fragment fractures and seven comminuted fractures. With 1-year follow-up, all fractures healed clinically in an average of 8 weeks and radiographically on average by 12 weeks. The average range of knee motion arc was 122.5° (range, 95°-140°). Five patients have an average flexion lag of 17° (range, 10°-30°). No patient had loss of fracture reduction, implant migration, material failure, or soft tissue irritation. The average Bostman score was 28.7 out of 30 (range, 27-30), and average Short Musculoskeletal Functional Assessment dysfunction score was 24.1 out of 100 (range, 15-39). All 10 patients stated they were highly satisfied. Anterior tension band wiring through cannulated screws for displaced inferior pole patella fractures is a safe, simple, and reliable alternative treatment with minimal soft tissue irritation. Good functional results and recovery can be expected.Keywords
This publication has 18 references indexed in Scilit:
- Patellar Tendon Repair With Suture Anchors Using a Combined Suture Technique of a Krackow-Bunnell WeaveJournal of Orthopaedic Trauma, 2009
- Modified pre-curved patellar basket plate, reconstruction of the proper length and position of the patellar ligament—A biomechanical analysisThe Knee, 2007
- The Use of Suture Anchors in Repair of the Ruptured Patellar TendonThe American Journal of Sports Medicine, 2006
- The basket plate in the osteosynthesis of comminuted fractures of distal pole of the patellaInjury, 2006
- Inferior Patellar Pole Avulsion Fractures: Osteosynthesis Compared with Pole ResectionJournal of Bone and Joint Surgery, 2005
- Genetic influences in the aetiology of tears of the rotator cuffThe Journal of Bone and Joint Surgery. British volume, 2004
- A comparison of short- and long-term intravenous antibiotic therapy in the postoperative management of adult osteomyelitisThe Journal of Bone and Joint Surgery. British volume, 1999
- Partial Patellectomy for Patellar Fracture: Tension Band Wiring and Early MobilizationJournal of Orthopaedic Trauma, 1993
- Distal patellar pole fracturesThe American Journal of Sports Medicine, 1984
- Comminuted displaced fractures of the patellaInjury, 1981