BACKGROUND Fractures of the patella are common and constitute almost 1% of all skeletal injuries. The patella is important for the extension of the knee joint. Several methods of internally fixing the fractured patella have been advocated. This study is directed towards the clinical evaluation of the modified tension band wiring technique for the fractured patella. MATERIALS AND METHODS The present study consists of 15 cases with fracture patella treated with modified tension band wiring during the period from October 2014 to October 2016 at govt. general hospital, Kurnool. RESULTS All cases were operated using a midline anterior vertical skin incision, 80% had excellent results, with normal squatting, grade-V quadriceps power and complete range of movement at knee joint.20% of cases had difficulty in squatting, grade-IV quadriceps power and limitation of flexion. Minimal quadriceps wasting seen in 20% of cases. CONCLUSION From the analysis of the present study modified tension band wiring is the gold standard technique in management of transverse fracture patella.

BACKGROUND Incidence of dorsolumbar injuries accounted for 75% of all spine injuries in a study from India. Most commonly fractured level in whole spine is L1 followed by T12. Fractures around dorsolumbar junction are wedge compression fractures, burst fractures. Wedge compression fractures are the most common fracture in Indian population. The aim of the study is to study the outcome of patients with dorsolumbar spine fractures stabilised by pedicle screw fixation. MATERIALS AND METHODS The present study was conducted among 20 patients with dorsolumbar junction spine fractures operated with pedicle screw fixation. RESULTS 19 cases were improved, in that 11 (55%) cases showed one grade improvement, 7 (35%) cases showed two grade improvement and 1 (5%) case improved by three grade. 1 (5%) case failed to recover by any grade. CONCLUSION By the analysis of the data collected in the present study, pedicle screw and rod fixation remains as the implant of choice in management of dorsolumbar fractures.