Complications Following Tension-Band Fixation of Patellar Fractures with Cannulated Screws Compared with Kirschner Wires

Hoshino, C Max; Tran, Wesley; Tiberi, John V.; Black, Maureen M.; Li, Bonnie H.; Gold, Stuart M.; Navarro, Ronald A.

doi:10.2106/jbjs.k.01549

Cited by 154 publications

(175 citation statements)

References 19 publications

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“…6 However, this technique led to k-wire related complications post-operatively like backing out of wires, pain and irritation due to k-wires. 8 These complications left the surgeon in dilemma of removing the implant and risking non-union or leaving it inside with the concomitant patient suffering.…”

Section: Discussionmentioning

confidence: 99%

“…Rates of implant removal for symptomatic hardware have ranged from 0% to 50%. 8 Although symptomatic implant irritation is not as serious a complication as fixation failure or postoperative infection, it does require the patient to undergo a second operation, which carries inherent surgical risk and increases the overall cost of fracture care. 9 Thus a method needs to be devised by which the re-operation rates can be decreased without compromising the union rates.…”

Section: ( F I G _ 4 ) T D $ F I G ]mentioning

confidence: 99%

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A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates

Agarwala

Agrawal

Sobti

2015

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Section: ( F I G _ 4 ) T D $ F I G ]mentioning

confidence: 99%

A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates

Agarwala

Agrawal

Sobti

2015

Journal of Clinical Orthopaedics and Trauma

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“…Bursitis around the Stainless steel wire knots and migrated K wires are very common in these patients. Hoshino et al in their study demonstrated an implant removal rate of 37% and 23% for patella fracture treated respectively with K-wires and cannulated screws and LeBrun et al reported a hardware removal rate of approximately 52% at a mean of 6.5 years of follow-up [9,13] . On the basis of these results, some authors have advocated the use of nonmetallic implants, such as non absorbable sutures and biodegradable cannulated screws [6-10, 18, 22] .…”

Section: Discussionmentioning

confidence: 96%

“…Hardware removal is a very common requirement for these reasons in patella fracture treatment. Non absorbable braided sutures are been used by many authors in various ways to avoid these hardware problems [6][7][8][9][10][11]18] . Internal fixation of patella with vertical wiring augmented with Krackow sutures are also being done for inferior pole patella fractures [24] .…”

Section: Introductionmentioning

confidence: 99%

Vertical and figure of eight fibre wiring for patella fractures

George¹,

George²,

Chittaranjan³

et al. 2017

Int. J. Orthop. Sci.

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Background: Displaced patella fractures need to be treated by internal fixation for achieving good outcome. Metallic hardware related pain and irritation are one among the many reasons for reoperations. Fracture displacement can happen due to early mobilisation depending on bone quality and fracture pattern. The aim of our study was to evaluate the postoperative outcome and complication rates of patella fractures fixed with fibre wires in a vertical and figure of eight pattern. Methods: We retrospectively followed up all patella fractures fixed using fibre wires utilising Krackow stitches through patellar tendon, longitudinal fixation through fracture fragments and figure of eight wiring on anterior patella. We evaluated their clinical outcome, range of movement, time to union and complication rates. We also evaluated these for arthritic scenario and different fracture patterns. Results: We had 22 patients (mean age 50.7) with a mean follow up of 22.7 months, mean Bostman score of 23.5, mean range of movement 115 0 and mean time to union 13.5 weeks. Arthritic patients though united without any complications had an unsatisfactory score. None of the patients developed any hardware related complications, fracture displacement or needed an implant removal. Conclusion: Fibre wires can be used in vertical and figure of pattern for achieving fracture union with good clinical outcome without fracture displacement or symptomatic hardware problems.

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“…Excessive bleeding, increased operative time, and the risk of prolonged anaesthesia time the patient is under. 7,10,15,17,18 Postoperative complications with this method, are mostly implant-related. Other major issues include wire breakage and migration of the wire away from the site leading to implant failure, seen after operative procedure limitations are loss of reduction and implant irritation, with increased rates of subsequent implant removal for symptomatic hardware.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the outcomes of pull through suturing vs. tension band wiring fixation techniques in the management of patellar fractures

et al. 2018

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Background: Operative fixation of displaced patella fractures has now become the standard of care. This study aims to asses functional outcomes, as well as identify complications in a patients treated with non-absorbable braided suture fixation for patellar fractures. These patients were then compared to a group of patients treated with K-wires with tension band wiring.Methods: This study was conducted on the patients admitted to orthopaedic ward at MGM medical college and hospital, Kamothe, Navi Mumbai. Total number of patients was taken for this study. Patients were followed up for a period of 6 weeks, 3 months, 6 months and at each visit. Patients were assessed by Lysholm knee score.Results: The mean age was 43.33 years for TB wiring group and 46.26 years for pull through suturing group. Out of 30, 15 were in TB wiring group in which 14 males and 1 female and, 15 in pull through suturing group 4 females and 11 males. The mean Lysholm knee score at 6 weeks for TB wiring group was 68.2 at 3 months was 81.4 at 6 months was 87. The mean Lysholm knee score for 6 weeks for pull through suturing was 69.2, at 3 months was 72.5 and at 6 months was 79.2.Conclusions: Patella fracture most common fractures, in this study we have discussed two modalities of treatment one is TB wiring and second is pull through suturing showing results that TB wiring have better results.

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Complications Following Tension-Band Fixation of Patellar Fractures with Cannulated Screws Compared with Kirschner Wires

Cited by 154 publications

References 19 publications

A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates

A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates

Vertical and figure of eight fibre wiring for patella fractures

Comparison of the outcomes of pull through suturing vs. tension band wiring fixation techniques in the management of patellar fractures

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