Tension band fixation for treatment of patellar fracture: Novel technique using a braided polyblend sutures and ring pins

Yotsumoto, Tadahiko; Nishikawa, Umeo; Ryoke, Koji; Nozaki, Kenji; Uchio, Yuji

doi:10.1016/j.injury.2008.10.032

Cited by 35 publications

(27 citation statements)

References 13 publications

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“…Another benefit is the reduced incidence of complications related to metallic materials, as the RP and BPS do not migrate from the reduction site, being selflocking. 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: Discussionmentioning

confidence: 93%

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: Discussionmentioning

confidence: 93%

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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“…Wright et al demonstrated that double stranded fibre wires are superior to stainless steel with regard to fatigue failure [21] . Lawrence Camarda et al has recently demonstrated their excellent results with Tension band combined with circlage fibre wiring in treating patella fractures [23] . We have combined principles of tension band and longitudinal fixation of patella for biomechanical stability, fibre wires for avoiding hardware problem and double stranded fibre wire figure of eight for appropriate tensile strength.…”

Section: Discussionmentioning

confidence: 99%

“…Fibre wires being stronger are now being used instead of braided nonabsorbable sutures. Similarly fibre wire tension band technique augmented with peripatellar circumferntial circlage is also done for patellar fractures to avoid hardware complications [23] . Improving stability of fixation can provide early mobilisation without fracture displacement.…”

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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“…Among these complications, loosening and migration of K-wires can lead to loss of reduction and surprisingly many reports have pointed out this complication 4,5) . There have been various modifications of the technique to avoid loosening and migration of K-wires 2,9,10) . Kinik et al 2) reported the self-locking tension band technique: the proximal ends of the K-wires are bent to form the loops that a cerclage wire can pass through.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, there have been reports on the postoperative complications related to migration of the K-wires leading to loss of rigid internal fixation 4) . Recently, various modifications of the technique have been suggested to overcome these complications 2,9,10) . We developed a novel modification method, 'anti-gliding loop augmentation technique', to improve the surgical outcome and avoid the complications of the modified tension band wiring used especially for the treatment of comminuted patellar fracture.…”

mentioning

confidence: 99%

Modified Tension Band Wiring Combined with Anti-Gliding Loop Augmentation Technique for the Treatment of Comminuted Patellar Fracture: Technical Note and Report of Early Results - Technical Note -

et al. 2013

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In order to investigate the feasibility of a modified tension band combined with anti-gliding loop augmentation technique for the treatment of comminuted patellar fracture, 21 patients with comminuted patellar fracture were enrolled in this study. After the modified tension band wiring of patellar fracture, a cerclage wire was passed around the patella. Anti-gliding loops were made on the bending sites of Kirshner-wires. A knot was tied using both ends of the anti-gliding loops, and the cerclage wire was tightened using proximal knots. Bone union was achieved at 4.5±1.5 months postoperatively without nonunion. The Lysholm score was 87.1±2.8, and the range of motion of the knee was 2. .5 o at the last follow-up. The modified tension band combined with anti-gliding loop augmentation technique might be considered an alternative modification of modified tension band wiring for the treatment of comminuted patellar fracture.

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Tension band fixation for treatment of patellar fracture: Novel technique using a braided polyblend sutures and ring pins

Cited by 35 publications

References 13 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

Vertical and figure of eight fibre wiring for patella fractures

Modified Tension Band Wiring Combined with Anti-Gliding Loop Augmentation Technique for the Treatment of Comminuted Patellar Fracture: Technical Note and Report of Early Results - Technical Note -

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