Tension Band Wiring in Gap Non-union Patella - A Simple Technique with Profound Results: Case Report.
J Orthop Case Rep
; 14(4): 160-164, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38681920
ABSTRACT
Introduction:
Gap non-union patellas are challenging to treat for an orthopedic surgeon. We hereby report a case of a 22-year-old person with a 3 cm gap nonunion, its surgical management, functional outcome, and implications for clinical practice. Case Report A 22-year-old active male presented to us with a background of comminuted fracture patella left side that he suffered 1 year ago, following which he was treated by open reduction and internal fixation (ORIF) with Tension Band Wiring (TBW). One year post-surgery, the patient had another fall, following which he had pain swelling in his left knee and difficulty in his knee extension. The patient presented 6 months later with painful ambulation and a swelling left knee. A 3 cm gap along with underlying implants could be palpated. The patient underwent surgery in the form of previous implant removal, freshening and apposition of fracture ends, and single-staged reconstruction of the extensor mechanism using TBW. The patient had full range of motion at the 1-year follow-up.Conclusion:
The present case highlights the fact that small-gap non-union patella can be managed simply as a single-stage procedure with ORIF and TBW.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
J Orthop Case Rep
Año:
2024
Tipo del documento:
Article
País de afiliación:
India