J Korean Fract Soc.  2014 Jan;27(1):65-71. 10.12671/jkfs.2014.27.1.65.

Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture

• Sim JC
• Ha SS
• Hong KD
• Kim TH
• Sung MC

• KMID: 1817004
• DOI: http://doi.org/10.12671/jkfs.2014.27.1.65

Abstract

PURPOSE
The purpose of this study is to evaluate the radiographic and clinical results of patella fractures using a circumferential wiring combined with tension band wiring.
MATERIALS AND METHODS
Between January 2005 and June 2012, 22 (male 14, female 8) patients with patella fracture treated with circumferential wiring combined with tension band wiring were analyzed retrospectively. The mean age of patients was 51 years (range, 28 to 72 years). Controlled passive range of motion exercise was started at three weeks from the postoperative day. The patients were evaluated using radiographs, clinical examination, and Levack's scoring system.
RESULTS
All fractures healed and mean time elapsed for union was 11.5 weeks (range, 10 to 14 weeks). Complete union without displacement and full range of motion was achieved in all cases. Clinical results according to Levack's scoring system were excellent in 20 cases and good in two cases. We found broken wire in one case. In this case, results of clinical evaluation after reoperation were good.
CONCLUSION
Circumferential wiring combined with tension band wiring is appropriate for patella fractures.

Keyword

Patella; Fracture; Circumferential wiring; Tension band wiring

MeSH Terms

Female
Humans
Patella*
Range of Motion, Articular
Reoperation
Retrospective Studies

Figure

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  Fig. 1 Anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

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  Fig. 2 (A) Anteroposterior and lateral plain radiographs showing fracture of patella. (B) Three-dimensional computed tomography showing fracture of patella. (C) Postoperative anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

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  Fig. 3 (A) Anteroposterior and lateral plain radiographs showing a broken wire, two months after the operation. (B) Anteroposterior and lateral plain radiographs showing the reoperation.

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