Percutaneous Cannulated Screws with Tension Band Wiring Technique in Patella Fractures
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Introduction: Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2–3 mm of fragment separation and/or articular incongruity. Surgical Technique: This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractures. Materials and Methods: We performed 30 cases of displaced transverse patellar fractures with this technique. The clinical outcomes of these patients were evaluated with simple radiographs, range of motion and Lyshom score. Results: This technique has shown to provide satisfactory clinical results and excellent knee functions.Conclusions: This technique provide stable fixation, allows early motion exercise by minimizing injury to extensor mechanism and reduce cosmetic problem in scar.
Abstract
Introduction: Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2–3 mm of fragment separation and/or articular incongruity. Surgical Technique: This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractures. Materials and Methods: We performed 30 cases of displaced transverse patellar fractures with this technique. The clinical outcomes of these patients were evaluated with simple radiographs, range of motion and Lyshom score. Results: This technique has shown to provide satisfactory clinical results and excellent knee functions.Conclusions: This technique provide stable fixation, allows early motion exercise by minimizing injury to extensor mechanism and reduce cosmetic problem in scar.
참고문헌 (16)
- Lotke PA, "Transverse fractures of the patella", Clin Orthop Relat Res, 158, pp.180~184 (1981)
- Gosal HS, "Clinical experience of patellar fracture fixation using metal wire or non-absorbable polyester: a study of 37 cases", Injury, 32, pp.129~135 (2001)
- Catalano JB, "Open fractures of the patella : long-term functional outcome", J Trauma, 39, pp.439~444 (1995)
- Hung LK, "Fractured patella : operative treatment using the tension band principle", Injury, 16, pp.343~347 (1985)
- Appel MH, "Treatment of transverse fractures of the patella by arthroscopic percutaneous pinning", Arthroscopy, 9, pp.119~121 (1993)
- Smith ST, "Early complications in the operative treatment of patella fractures", J Orthop Trauma, 11, pp.183~187 (1997)
- Bostrom A, "Fracture of the patella : a study of 422 patellar fractures", Acta Orthop Scand Suppl, 143, pp.1~80 (1972)
- Tandogan RN, "Arthroscopic-assisted percutaneous screw fixation of select patellar fractures", Arthroscopy, 18, pp.156~162 (2002)
- Carpenter JE, "Fractures of the patella", Instr Course Lect, 43, pp.97~108 (1994)
- Kaylor KL, "Injuries to the patella and extensor mechanism, In Orthopaedic knowledge update 5", pp.153~158 (1996), American Academy of Orthopaedic Surgeons
- Carpenter JE, "Biomechanical evaluation of current patella fracture fixation techniques", J Orthop Trauma, 11, pp.351~356 (1997)
- Leung PC, "Percutaneous tension band wiring : a new method of internal fixation for mildly displaced patella fracture", J Trauma, 23, pp.62~64 (1983)
- Luna-Pizarro D, "Comparison of a technique using a new percutaneous osteosynthesis device with conventional open surgery for displaced patella fractures in a randomized controlled trial", J Orthop Trauma, 20, pp.529~535 (2006)
- Chiang CC, "Arthroscopically assisted percutaneous osteosynthesis of displaced transverse patellar fractures with figure-eight wiring through paired cannulated screws", Arch Orthop Trauma Surg, 131, pp.949~954 (2011)
- Cekin T, "Comparison of three fixation methods in transverse fractures of the patella in a calf model", Acta Orthop Traumatol Turc, 40, pp.248~251 (2006)
- Tian Y, "Cannulated screw and cable are superior to modified tension band in the treatment of transverse patella fractures", Clin Orthop Relat Res, 469, pp.3429~3435 (2011)