Modified Tension Band Wiring Using FiberWire for Patellar Fractures
10.4055/cios.2019.11.2.244
- Author:
Bong Ju LEE
1
;
Jegyun CHON
;
Ja Yeong YOON
;
Deukhee JUNG
Author Information
1. Department of Orthopaedic Surgery, Daejeon Sun Hospital, Daejeon, Korea. knee@hanmail.net
- Publication Type:Brief Communication
- Keywords:
Patella;
FiberWire;
Tension band wiring
- MeSH:
Bone Wires;
Congenital Abnormalities;
Humans;
Knee;
Methods;
Patella;
Rehabilitation;
Visual Analog Scale
- From:Clinics in Orthopedic Surgery
2019;11(2):244-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
