Outcome study of application of modified tension band wiring (TBW) in patellar fracture: A prospective study
Journal Title: GJRA-Global Journal For Research Analysis - Year 2015, Vol 4, Issue 6
Abstract
Introduction: Fractures of patella are notorious fractures to treat owing their subcutaneous position and anatomical alignment which is difficult to restore. In the study, open reduction and internal fixation (ORIF) with modified tension band wire technique was used. Aims: Clinically evaluate the results and efficacy of this principle and technique in management. Methodology: It was prospective descriptive study conducted in GMC, Akola. Results: Patellar injury was more commonly associated with Indirect trauma (56)%. Maximum case of patellar injury was caused due to RTA (75%) followed by fall injuries (25%). Patellar injury was simple in nature in 89.60% cases. Transverse fracture (81.25%) was most common patellar fracture followed by communited (16.67%) patellar fracture. According to Reich and Rosenberg criteria 58.3% got excellent results, 33.3% good and remaining all were having fair results. Conclusion: ORIF with modified tension band wire technique is simple, inexpensive technique, effective means of fixing fracture, advantage of early mobilization of the joint, reduces edema and stiffness of joint, thus leading to a better and early functional recovery and with minimum complications.
Authors and Affiliations
Raghuwanshi Gajendra, Aggarwal Sumit S
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