Study of tension band wiring in management of fracture of patella in tertiary care hospital in Vadodara
Author(s): Chirag V Thakkar, Tarun Desai, Rosy Parmar
Background: Patella is the largest sesamoid bone in the body and is situated in front of the knee joint. Patellar fractures are encountered very frequently in day to day clinical practice due to increase in accidents.
Objective: Present study is carried out to know the role of tension band wiring in management of fracture of patella.
Material and Methods: This study was conducted during April 2003 to July 2005. All the patients were following trauma and all were treated, followed up and studied according to a fixed protocol. History of all patients was taken and local, general as well as radiological examinations were done. After confirmation of diagnosis patients were admitted with posterior cylindrical slab. After that preoperative evaluation was done and one the patient was fit for surgery, he was operated on appropriate day. Fracture fragments were reduced and then fixed with k-wire. Reduction was confirmed on IITV (image intensification Television).
Result: In the patients after tension band wire insertion, 120-130 degree flexion was present in 50% patients, quadriceps strength was equivalent to opposite limb in 90% patients, difficulty in sitting cross legged /squatting was present in 50% patients, change of work was observed in 25% patients, infection was observed in 5% patients, non union or mal union was not observed in any patient. Conclusion: Tension band wiring produces good results when there is minimal or no communication and exact reduction of articular surface is achieved. Our results are comparable with some of studies conducted in India and abroad.