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The Journal of Community Health Management


AN EXPERIENCE OF TREATMENT OF CLOSE PATELLAR FRACTURES WITH TENSION BAND WIRING


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Author Details: Abhijeet Kumar, Pashupati Chaudhary

Volume : 2

Issue : 4

Online ISSN : 2394-2738

Print ISSN : 2394-272X

Article First Page : 195

Article End Page : 198


Abstract

Patellar fractures accounts for approximately 1% of all fractures.  Prevalence rate is high within the age group of 20 to 50 years and males are twice more commonly affected than females.  Transverse fractures are the most common accounting for       50-80% of the patellar fractures whereas comminuted fractures account for 30-35% and the vertical ones for 12-17%.1 The purpose of this study was to find out the results of operative treatment of transverse fractures of patella with tension band wiring.
Results: Fifteen cases of transverse close fracture of patella included in the study. Meantime union was 8-10 weeks.  Range of movement was excellent in 9 patients (60%) while 4 patients (26.6%) having fractures with comminuting element had good range of movement.  Remaining 2 patients (13.3%) had poor results who failed to follow up. Conclusion:  Tension band wiring in fracture of patella with greater than 2 mm displacement or articular step allows early motion and rehabilitation.

 

Key words: Fracture Patella, Tension band wiring, Displacement