Loop Anchor Tension Band Technique for Patella Fractures Lowers the Rate of Kirschner Migration

Yao, Shu-Hsin; Lin, Szu-Yuan; Lin, Chang-Hao; Chen, Chun-Ho

doi:10.1016/j.injury.2020.11.057

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…The main aim of operative treatment is to reduce the anatomic articular surface, achieve stable patella fixation, and facilitate early knee mobilization (8). The TBW technology is the most extensively utilized surgical fixation approach to stabilize patella fractures.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of Kirschner wires combined with 5-Ethibond fixation for patella fractures

Yuan

Hu²,

Zhang³

et al. 2023

Front. Surg.

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BackgroundPatella fractures that require surgery are conventionally treated using Kirschner wires (K-wires) and stainless steel wires. In recent years, the nonabsorbable polyester has been reported to have excellent outcomes clinically. Therefore, the goal of our study was to evaluate the effects of Kirschner wires combined with 5-Ethibond on treating patellar fractures.MethodsFrom July 2018 to January 2022, 22 patella fracture patients were treated with Kirschner wires combined with 5-Ethibond. Radiographs of the knees were used to evaluate fracture healing and hardware complications. The clinical results were evaluated through the functional score, knee joint range of motion (ROM), and Bostman patella fracture functional score.ResultsThe average age of patients was 57.4 ± 11.9 (range 33–74) years. The mean follow-up time was 15.2 ± 7.6 (range 4–36) months. The mean operation time was 56.8 ± 8.7 (range 45–80) min. The entire patients had bony union at an average of 10.5 ± 1.9 (range 8–14) weeks. At the final follow-up, the mean range of postoperative ROM was 123.4° ± 14.6° (range 95°–140°), and the functional score was 28.7 ± 1.2 (range 26–30) points. No patient exhibited internal fixation failure, and no symptomatic implants or skin complications were recorded.ConclusionsThe fixation approach using K-wires combined with 5-Ethibond has a lower complication rate and delivers superior clinical results. This research reveals that such technology is a safe and prospective substitute for conventional metal fixation approaches.

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Section: Discussionmentioning

confidence: 99%

Clinical application of Kirschner wires combined with 5-Ethibond fixation for patella fractures

Yuan

Hu²,

Zhang³

et al. 2023

Front. Surg.

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“…7 The "loop anchor tension band" technique reportedly yields favorable surgical outcomes in treating patella fractures, with significantly reduced hardware migration rate. 8 The same concept could be applied for treating olecranon fractures. Different from transcortical fixation, the K wires are all placed intramedullary using this technique and the K wires are locked with the figure-of-eight metal wire through the loops.…”

mentioning

confidence: 99%

“…However, some complications have been reported after tension band wiring, the most frequent of which are posterior elbow pain because of hardware and rare but devastating neurovascular injury 7. The “loop anchor tension band” technique reportedly yields favorable surgical outcomes in treating patella fractures, with significantly reduced hardware migration rate 8. The same concept could be applied for treating olecranon fractures.…”

mentioning

confidence: 99%

Loop Anchor Tension Band Fixation for Olecranon Fractures and Chevron Olecranon Osteotomy

Yao

Chen

2022

Techniques in Hand &Amp; Upper Extremity Surgery

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Although tension band wiring is effective for treating olecranon fractures, it is associated with a high reoperation rate because of hardware-related problems. The loop anchor tension band technique is a novel modification of the Arbeitsgemeinschaft für Osteosynthesefragen (AO)-modified tension band wiring technique. This technique is suitable for treating olecranon fractures without severe comminution and olecranon osteotomy. In the current case series, 2 intramedullary 1.25-mm Kirschner wires (K wires) were inserted as temporary fixation into the ulnar shaft from the olecranon after anatomical reduction. The proximal end of each K-wire was bent into a loop shape and advanced deep into the triceps tendon. A transverse hole was drilled distal to the fracture site, and a 1.0-mm metal wire was passed through the bone tunnel and the loops. The wire was tightened to form a figure-of-eight tension band construct. In total, 10 patients with a mean age of 49 (range: 19 to 85) years were included in this pilot series. The mean and minimum follow-up periods were 13.9 and 12 months, respectively. All fractures achieved favorable union, both radiographically and clinically. The mean QuickDASH score was 15.4 (range: 13.6 to 18.2) and the mean Mayo elbow performance score was 94 (range: 85 to 100). None of the patients experienced K-wire migration. The loop anchor tension band technique is a simple, cost effective modification of conventional tension band wiring and exhibited no implant migration in a pilot series.

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Loop Anchor Tension Band Technique for Patella Fractures Lowers the Rate of Kirschner Migration

Cited by 2 publications

References 15 publications

Clinical application of Kirschner wires combined with 5-Ethibond fixation for patella fractures

Clinical application of Kirschner wires combined with 5-Ethibond fixation for patella fractures

Loop Anchor Tension Band Fixation for Olecranon Fractures and Chevron Olecranon Osteotomy

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