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Clinical Outcomes of Triple Tension Band Wirings in Comminuted Patellar Fracture:A Comparison with Conventional Tension Band Wiring
Article de En | WPRIM | ID: wpr-1044180
Bibliothèque responsable: WPRO
ABSTRACT
Purpose@#This study devised triple tension band wirings (TTBW) fixation in patients with comminuted patella fractures to compare the clinical result of TTBW with that of tension band wiring (TBW). @*Materials and Methods@#This study was conducted on 91 patients who had undergone surgery diagnosed with acute patella fracture from January 2011 to December 2016. The study included 51 double TBW patients (Group 1) and 40 patients with TTBW (Group 2). @*Results@#Five out of 51 cases had a loss of reduction and fixation failure in Group 1, and no failure of fracture formation healing occurred in Group 2. Nonunion was noted in one case in Group 1 and no case in Group 2. Eight K-wire migration cases were observed in Group 1, which was not observed in Group 2. Six patients in Group 1 underwent revisional surgery. No patients in Group 2 had a reoperation. As a result of a one-year follow-up after the operation, the mean range of motion of the knee joint in groups 1 and 2 was 128.3°±11.3° and 127.9°±10.8°, respectively. The Lysholm’s scores for groups 1 and 2 were 90.8±4.2 and 90.3±3.8 points, respectively, which was not statistically significant. @*Conclusion@#TTBW is a helpful technique for the surgical treatment of comminuted patella fractures. The TTBW method has less reoperation due to nonunion and fixation failure. After a one-year followup, the clinical results were similar to the conventional TBW method.
Texte intégral: 1 Indice: WPRIM langue: En Texte intégral: Journal of the Korean Fracture Society Année: 2024 Type: Article
Texte intégral: 1 Indice: WPRIM langue: En Texte intégral: Journal of the Korean Fracture Society Année: 2024 Type: Article