Clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by tension band wiring in a tertiary care hospital in North India: a prospective study

Authors

  • Pankaj Spolia Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India http://orcid.org/0000-0002-8234-0177
  • Ashish Nehru Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Abdul Ghani Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Sakib Arfee Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20215042

Keywords:

Patella fracture, Tension band wiring, Visual analogue scale, Reich and Rosenberg criteria

Abstract

Background: Patella is the largest sesamoid bone in the quadriceps tendon in the body. The main function of patella is to improve the efficiency of quadriceps muscle by improving the mechanical leverage of the quadriceps muscle. There are various methods used for fixation of these fractures. Tension band wiring (TBW) works by converting tensile forces into compressive forces when movements occur at the knee joint. The aim of our study was to evaluate the clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by TBW.

Methods: This was the prospective study of 22 patients aged 20 to 60 years (mean age 41.4 years) with displaced transverse fractures of patella managed by TBW.

Results: The final outcome was observed at 6 months follow up. The results were comparable with the existing literature. Radiological union was achieved within 10 to 16.2 weeks, with an average of 12.4 weeks. Out of 22, (n=16, 72.7%) had excellent outcome, (n=5, 22.7%) had good functional outcome, (n=1, 4.5%) had fair outcome. Complications were observed in 6 (27.3%) patients.

Conclusions: It is concluded that the surgical treatment with TBW is the best treatment in the management of displaced transverse fractures of patella.

Author Biographies

Pankaj Spolia, Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India

Post Graduate Department of Orthopaedics, GMC Jammu

Resident doctor 

Abdul Ghani, Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India

Post Graduate Department of Orthopaedics, GMC Jammu

Professor and Head Of Unit

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Published

2021-12-28

How to Cite

Spolia, P., Nehru, A., Ghani, A., & Arfee, S. (2021). Clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by tension band wiring in a tertiary care hospital in North India: a prospective study. International Journal of Research in Medical Sciences, 10(1), 122–126. https://doi.org/10.18203/2320-6012.ijrms20215042

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Original Research Articles