Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2014 Jan;27(1):65-71. Korean.
    Published online Jan 17, 2014.
    https://doi.org/10.12671/jkfs.2014.27.1.65
    Copyright © 2014 The Korean Fracture Society. All rights reserved.
    Original Article

    Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture

    Jae-Chun Sim, M.D., Sung-Sik Ha, M.D., Ki-Do Hong, M.D., Tae-Ho Kim, M.D. and Min-Chul Sung, M.D.
      • Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.
    • Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3324, Fax: 82-2-2212-2673, Email: crash1401@naver.com
    Received September 10, 2013; Revised December 17, 2013; Accepted December 26, 2013.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The purpose of this study is to evaluate the radiographic and clinical results of patella fractures using a circumferential wiring combined with tension band wiring.

    Materials and Methods

    Between January 2005 and June 2012, 22 (male 14, female 8) patients with patella fracture treated with circumferential wiring combined with tension band wiring were analyzed retrospectively. The mean age of patients was 51 years (range, 28 to 72 years). Controlled passive range of motion exercise was started at three weeks from the postoperative day. The patients were evaluated using radiographs, clinical examination, and Levack's scoring system.

    Results

    All fractures healed and mean time elapsed for union was 11.5 weeks (range, 10 to 14 weeks). Complete union without displacement and full range of motion was achieved in all cases. Clinical results according to Levack's scoring system were excellent in 20 cases and good in two cases. We found broken wire in one case. In this case, results of clinical evaluation after reoperation were good.

    Conclusion

    Circumferential wiring combined with tension band wiring is appropriate for patella fractures.

    Keywords
    Patella; Fracture; Circumferential wiring; Tension band wiring

    Figures

    Fig. 1
    Anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

    Fig. 2
    (A) Anteroposterior and lateral plain radiographs showing fracture of patella. (B) Three-dimensional computed tomography showing fracture of patella. (C) Postoperative anteroposterior and lateral plain radiographs showing internal fixation with circumferential wiring and tension band wiring.

    Fig. 3
    (A) Anteroposterior and lateral plain radiographs showing a broken wire, two months after the operation. (B) Anteroposterior and lateral plain radiographs showing the reoperation.

    Tables

    Table 1
    Levack's Scoring System

    Table 2
    Summary of Cases

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    MeSH Terms
    Female
    Humans
    Patella*
    Range of Motion, Articular
    Reoperation
    Retrospective Studies
    Metrics
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