Experimental investigation of the tension band in fractures of the patella

Fortis, A.P.; Milis, Z.; Kostopoulos, V.; Tsantzalis, S.; Kormas, P; Tzinieris, N; Boudouris, Th

doi:10.1016/s0020-1383(01)00173-5

Cited by 57 publications

(33 citation statements)

References 8 publications

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“…25 Comparing the two modalities the Lysholm knee score was better in the group of patients who underwent TB wiring as compared to the group which underwent pull through suturing. 26 Comparing our study to Gosal et al and Yotsumoto et al showed that our study Tb wiring has better outcome for Lysholm knee score as compared to pull through suturing but complication rate was more in the TBW group as compared to pull through suturing group.…”

Section: Discussionsupporting

confidence: 49%

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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Section: Discussionsupporting

confidence: 49%

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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“…One of the limitations of our study is the use of the foil strain gauge, which usually is used to measure the strain of the tissues with a larger elastic modulus [5,19]. We used the foil strain gauge to avoid possible injury to the patellar tendon by insertion of other types of gauges, and this may partly explain the relatively small strain value observed in the current study [1,3,11,20].…”

Section: Discussionmentioning

confidence: 98%

Joint Gap Changes with Patellar Tendon Strain and Patellar Position During TKA

Gejo

Morita

Matsushita

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Balancing of the joint gap in extension and flexion is a prerequisite for success of a total knee arthroplasty. The joint gap is influenced by patellar position. We therefore hypothesized the state of the knee extensor mechanism (including the patellar tendon) would influence the joint gap. In 20 knees undergoing posterior-stabilized type total knee arthroplasties, we measured the joint gap and the patellar tendon strain from 0°to 135°flexion with the femoral component in position. When the patella was reduced, the joint gap was decreased at 90°and 135°(by

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“…Selecting the appropriate and effective method and materials for treating patellar fractures is a tough challenge for orthopaedists [1, 6–8, 12, 13, 15]. Although the modified tension band technique (eg, tension band supplemented by longitudinal K-wires) has long been the mainstay for fixation of transverse fractures of the patella [1, 4–6, 8, 13, 14], it is not without shortcomings.…”

Section: Discussionmentioning

confidence: 99%

“…Although the modified tension band technique (eg, tension band supplemented by longitudinal K-wires) has long been the mainstay for fixation of transverse fractures of the patella [1, 4–6, 8, 13, 14], it is not without shortcomings. We therefore compared an alternative operative method, the titanium cable-cannulated screw tension band technique, with the modified tension band technique to see whether this technique could (1) achieve better reduction and direct interfragmentary compression force; (2) shorten fracture healing time; (3) decrease complications, such as loosening of implants and skin irritations; and (4) achieve better knee function.…”

Section: Discussionmentioning

confidence: 99%

“…In the 1950s, the principle of using a modified tension band technique for treatment of patellar fractures was first proposed and then subsequently recommended as the primary treatment method for patellar fractures [5, 6, 15]. The principle of the tension band technique is to convert the tension forces acting on the anterior surface into compression forces at the articular surface.…”

Section: Introductionmentioning

confidence: 99%

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Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures

Tian

Zhou

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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BackgroundAlthough the modified tension band technique (eg, tension band supplemented by longitudinal Kirschner wires) has long been the mainstay for fixation of transverse fractures of the patella, it has shortcomings, such as bad reduction, loosening of implants, and skin irritation.Questions/purposesWe conducted a retrospective comparison of the modified tension band technique and the titanium cable-cannulated screw tension band technique.Patients and MethodsWe retrospectively reviewed 101 patients aged 22 to 85 years (mean, 56.6 years) with AO/OTA 34-C1 fractures (n = 68) and 34-C2 fractures (n = 33). Fifty-two patients were in the modified tension band group and 49 were in the titanium cable-cannulated screw tension band group. Followup was at least 1 year (range, 1–3 years). Comparison criteria were fracture reduction, fracture healing time, and the Iowa score for knee function.ResultsThe titanium cable-cannulated screw tension band group showed improved fracture reduction, reduced healing time, and better Iowa score, compared with the modified tension band group. In the modified tension band group, eight patients experienced wire migration, three of these requiring a second operation. There were no complications in the titanium cable-cannulated screw tension band group.ConclusionsThe titanium cable-cannulated screw tension band technique showed superior results and should be considered as an alternative method for treatment of transverse patellar fractures.Level of EvidenceLevel III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Experimental investigation of the tension band in fractures of the patella

Cited by 57 publications

References 8 publications

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

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

Joint Gap Changes with Patellar Tendon Strain and Patellar Position During TKA

Cannulated Screw and Cable are Superior to Modified Tension Band in the Treatment of Transverse Patella Fractures

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