FUNCTIONAL RESULTS OF TENSION BAND WIRING IN TRANSVERSE PATELLAR FRACTURE CASES
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Keywords
transverse patellar fractures, tension band wiring, adults, postoperative rehabilitation
Abstract
Background: Since the patella is the largest sesamoid bone, it is better mechanically advantageous to have more knee extension force because it is enclosed in the quadriceps tendon. It absorbs compressive stresses at the point where it connects to the femur and transfers tensile forces from the quadriceps to the tibia. About 1% of all fractures are patellar fractures, which mostly strike active people between the ages of 20 and 50 years. Transverse breaks are the usual presentation of these fractures. They frequently result from either direct or indirect trauma.
Objective: To analyze functional results of tension band wiring in transverse patellar fracture cases.
Study design: A cross-sectional study
Place and Duration: this study was conducted in Niazi Medical and Dental College Lahore Road Sargodha from July 2022 to July 2023
Methodology: A total of 40 patients were included in this study. All of the participants were having Transverse Patellar fractures and they were aged between 20 to 45 years. In order to confirm the fracture, the radiographs of the knee were obtained. A brace that was quite rigid was used to immobilize the fracture. Following the required assessments, all patients had their scheduled operation as soon as possible. The patient was placed supine on the operation table while under spinal anesthesia. The middle of the patella was the site of a midline longitudinal incision. The retinaculum's rips and the shattered patella surface were made visible by carefully removing the skin and surrounding tissue.
Results: A total of 40 people were involved in this study, out of which 30 were male and 10 were females. Overall 16 (40%) of the cases showed extension lag in the first follow-up. The average operation time was 90 minutes. A total of 24 patients had injury due to indirect trauma while 16 participants were those who had injury due to direct trauma. After 6 months follow-up, 32 (80%) of the participants showed excellent results.
Conclusion: Because the implant offers consistent support and makes the postoperative rehabilitation process easier, tension band wiring is a safe and effective way to treat transverse patellar fractures.
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Aurangzeb Husain Qureshi
Assistant Professor Orthopedic, Niazi Medical and Dental College Lahore Road Sargodha Pakistan.
Nadeem Hassan
Medical officer, Pakistan Institute of Medical Sciences Islamabad Pakistan.
Malik Wasim Ahmed Majoka
Assistant Professor Orthopedic Surgery, Dow International Medical college, Dow university Hospital, ojha Campus, Karachi.
Hassan Amir Us Saqlain
Orthopedic Consultant, Al Qassimi Hospital Sharjah UAE.
Abdul Rahman Khan
Assistant Professor Orthopedic Surgery, Dow International Medical college, Dow university Hospital, ojha Campus, Karachi Pakistan.
Hussain Bux Palh
Assistant Professor Orthopedic, Gambat Medical College Pir Syed Abdul Qadir Shah Jeelani Institute of Medical Science GIMS Gambat Pakistan.