What leads to unfavourable Cybex test results for quadriceps power after modified tension band osteosynthesis of patellar fractures?
Injury
; 37(6): 520-4, 2006 Jun.
Article
em En
| MEDLINE
| ID: mdl-16574121
ABSTRACT
This study recruited 20 patients who had undergone modified tension band wiring for patellar fracture, with a mean follow up of 30 months. Subjects were grouped according to results of Cybex isokinetic testing at 60 degrees /s angular velocity. Subjects with <30% deficit as compared with the contralateral knee constituted group I, and those with >30% similar deficit formed group II. Plain radiography and HSS scoring were also performed. According to patient satisfaction, HSS scoring and Cybex testing, results were good in 80%, 90% and 55% of cases, respectively. Statistical analysis revealed that there were no significant differences between the two groups in terms of age, gender, duration of follow up, fracture type (two-part or comminuted), dominancy, time interval between trauma and surgery, or duration of immobilisation. The number of patients with >1 mm articular incongruity postoperatively was significantly higher in group II, which also had significantly higher incidences of >1 cm thigh atrophy and pain and thus increased deficits. We suggest that articular incongruity should be limited strictly to 1mm in surgery for patellar fractures.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Patela
/
Músculo Quadríceps
/
Fraturas Ósseas
/
Fixação Interna de Fraturas
/
Contração Muscular
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Injury
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Turquia