Managment Of Fractures Of Patella Olecranon, Malleoli By Tension Band Wiring Method

Abstract

Fractures of the eccentrically loaded bones like patella, olecranon and medial malleolus are one of the most common fractures encountered by an orthopaedic surgeon, with better operative techniques, internal fixation of these fractures with tension band wiring has become an accepted mode of treatment with its matching outcome results enabling the patient to smoothly resume his work without hampering his day-today life. Internal fixation of fractures hastens healing and rehabilitation. It also allows for early mobilization of the joint thereby preventing stiffness of joints and other complications related to immobilization. The aim of the study is to prove tension band wiring is a simple, inexpensive technique and effective means of fixing fracture based on biomechanical principle with minimum complications. Fifty cases of fractures were treated with tension band wiring, which comprised of fracture patella 20 cases, fracture olecranon 15 cases and medial malleolus 15 cases. Operated during period of 2013 to 2015. About 96% of fractures had united after 12 weeks. One case of wire migration was noted and superficial infection in one case who was a diabetic patient. In present study, there were 50% excellent, 32% good, 14% fair and 4% poor results.

Functional outcome of tension band wiring in transverse fracture of medial malleolus

“…Anatomical reduction of the fracture fragment in displaced medial malleoli fractures also corrects the talar displacement which is vital in treatment of unstable fractures [9,10] . The results in this study are compared with Reddy KR et al [11] , Karra Bansilal [12] , Sagar Jawale [13] . In the study done by Reddy KR et al, good to excellent results were obtained in about 73.3% cases, in Karra Bansilal et al series, good to excellent results were obtained in 82% of cases.…”

“…We had 10% of patients with associated injuries like posterior malleolar fracture and tibial pilon fracture. [11] 43.3 30 20 6.7 Karra Bansilal [12] 50 32 14 4 Sagar Jawale [13] 77. Medial malleolus fractures in general necessitate exact anatomical reduction, since it is close to ankle joint, to reestablish near normal tibio-talar articulation.…”