Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture

Jae-Chun Sim; Sung-Sik Ha; Ki-Do Hong; Tae-Ho Kim; Min-Chul Sung

doi:10.12671/jkfs.2014.27.1.65

Journal List > J Korean Fract Soc > v.27(1) > 1038012

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Sim, Ha, Hong, Kim, and Sung: Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture

Original Article

Journal of the Korean Fracture Society 2014; 27(1): 65-71.

Published online: 17 January 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.1.65

Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture

Jae-Chun Sim, M.D., Sung-Sik Ha, M.D., Ki-Do Hong, M.D., Tae-Ho Kim, M.D., Min-Chul Sung, M.D.

Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3324, Fax: 82-2-2212-2673, crash1401@naver.com

Received 10 September 2013 Revised 17 December 2013 Accepted 26 December 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study is to evaluate the radiographic and clinical results of patella fractures using a circumferential wiring combined with tension band wiring.

Materials and Methods

Between January 2005 and June 2012, 22 (male 14, female 8) patients with patella fracture treated with circumferential wiring combined with tension band wiring were analyzed retrospectively. The mean age of patients was 51 years (range, 28 to 72 years). Controlled passive range of motion exercise was started at three weeks from the postoperative day. The patients were evaluated using radiographs, clinical examination, and Levack's scoring system.

Results

All fractures healed and mean time elapsed for union was 11.5 weeks (range, 10 to 14 weeks). Complete union without displacement and full range of motion was achieved in all cases. Clinical results according to Levack's scoring system were excellent in 20 cases and good in two cases. We found broken wire in one case. In this case, results of clinical evaluation after reoperation were good.

Conclusion

Circumferential wiring combined with tension band wiring is appropriate for patella fractures.

Keywords: Patella, Fracture, Circumferential wiring, Tension band wiring

Figures and Tables

Fig. 1

Anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

Fig. 2

(A) Anteroposterior and lateral plain radiographs showing fracture of patella. (B) Three-dimensional computed tomography showing fracture of patella. (C) Postoperative anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

Fig. 3

(A) Anteroposterior and lateral plain radiographs showing a broken wire, two months after the operation. (B) Anteroposterior and lateral plain radiographs showing the reoperation.

Table 1

Levack's Scoring System

Table 2

Summary of Cases

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