Comparative study of Modified Tension Band Wiring versus Tension Band Through Parallel CannulatedCancellous Screws in Patella Fractures

Shrestha, Praphulla; Chalise, Pawan Raj; Paudel, Sujan Raj

doi:10.3126/bjhs.v4i3.27012

Cited by 5 publications

(8 citation statements)

References 6 publications

(6 reference statements)

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“…In previous study showed that K-wire prominence and migration are the primary causes of skin irritation associated with this technique. 3 In our study, the reoperation rate was 0% (0/10) for the CSTB group, which was significantly less than (1/10) in the MKTB group. The main reason is that fixation with K-wires is associated with a high rate of hardware removal compared with screws ( Figure 1).…”

Section: Discussioncontrasting

confidence: 46%

“…Despite biomechanical and clinical studies demonstrating that the MKTB technique provides relatively stable fixation for transverse patellar fractures, deficiencies have been reported with this technique mainly implant loosening, displacement, and irritating pain, which have an impact on limb rehabilitation, and potentially have a deleterious effect on functional outcomes. 3 In order to avoid these problems associated with the MKTB technique, we used a CSTB to treat transverse patellar fractures and compared the clinical results of these 2 surgical techniques.…”

Section: Discussionmentioning

confidence: 99%

“…This technique can substantially improve results because of its reliable fixation and allowance of early joint motion. 3 The purpose of study was to compare modified tension band wire (MTBW) technique with tension band wiring through cannulated cancellous screws (TBWCCS) in patella fractures in terms of time taken for union, and function.…”

Section: Introductionmentioning

confidence: 99%

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Management of patella fractures with different modalities

et al. 2019

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Background: Patella fracture is quite a common injury for all ages of patients, constituting approximately 1% of all skeletal injuries. Patella is the largest sesamoid bone in the body. The aim of study was to assess the functional outcome of patella fractures treated with modified tension band wiring using K wires and cannulated cancellous screws with tension band construct.Methods: This study was a prospective clinical study to be conducted at the Department of Orthopaedic Surgery, Chalameda Anand Rao Institute of Medical Sciences, Karimnagar from October 2016 to November 2018. Total, 20 patients with transverse patellar fractures were studied and divided into 2 groups according to the surgical technique: 10 patients were in the MKTB group and 10 patients in the CSTB group.Results: Total 20 patella fractures were included in this study. The Bostman’s score of ROM, pain, atrophy of quadriceps femoris, and effusion were all higher in the CSTB group than in the MKTB group.Conclusions: We conclude that compared with the MKTB technique, CSTB fixation is an effective surgical procedure for treatment of displaced transverse patellar fractures.

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

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Management of patella fractures with different modalities

et al. 2019

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“…Tension band with cannulated screw had a better curative effect on patella fracture, lower complication rate, and higher quality of life of patients [19]. Another agreement was noticed in Liu et al study in 2020 [19], Tan et al study in 2016 [22], and Shrestha et al study in 2019 [23] when they stated that VAS scores in the CS group were lower than those in the TBT group. The primary compression effect at the fracture interface is achieved by two parallel cannulated lag screws, and the secondary compression is achieved by tightening the figure-of-eight wire band around the anterior patella, which differs from tension band wiring technique [24].…”

Section: Discussionmentioning

confidence: 58%

The Outcomes of Cannulated Screws Versus Tension Band Wiring in Treatment of Transverse Patellar Fracture: A Comparative Study

Mazyon,

Jawad,

Diab

2023

Open Access Maced J Med Sci

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BACKGROUND: For the treatment of displaced patella fractures by tension bands with cannulated screws and by K-wire are widely employed. The clinical efficacy of the two therapy regimens, however, remains a point of contention. AIM: The study goal was to assess the relative advantages and drawbacks of open reduction and internal fixation using tension band wiring versus cannulated screws with wiring in patients sustained displaced patellar fracture. PATIENTS AND METHODS: A clinical trial study conducted in the Orthopedics Department at Al-Yarmook Teaching Hospital during a period of 18 months from June 2020 to November 2021. It included 22 adult patients diagnosed with isolated displaced transverse patellar fracture and scheduled for operative fixation. They were divided randomly into two groups: Tension band technique group (TBT) included 11 patients underwent open reduction internal fixation (ORIF) with TBT and cannulated screws (CS) group included 11 patients underwent ORIF by cannulated screws with wiring. A postoperatively follow-up was continued for 6 months. In which patients were assessed clinically and radiographically 4 time, at the end of the 1st, 2nd, 3rd, and 6th months. RESULTS: After 1, 2, and 3 months, means of Lysholm score and range of flexion were significantly higher; while mean of VAS score of pain was significantly lower in CS group than that in TBT group. No statistical significant differences in postoperative complications were found between study groups. CONCLUSION: Tension band wire with cannulated screws is the most effective surgical approach for internally repairing transverse fractures of the patella which allows for an early start to postoperative functional activity and an improved quality of life.

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“…can improve the results because of its reliable fixation and allowance of early joint motion. 8 The treatment of patella fractures with two vertical Kirschner wires (K-wires) and an anterior figure of eight technique, has become an accepted standard of care in the treatment of displaced fractures of the patella. [9][10][11][12] The purpose of our study was to assess the clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults treated by TBW.…”

mentioning

confidence: 99%

Clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by tension band wiring in a tertiary care hospital in North India: a prospective study

et al. 2021

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Background: Patella is the largest sesamoid bone in the quadriceps tendon in the body. The main function of patella is to improve the efficiency of quadriceps muscle by improving the mechanical leverage of the quadriceps muscle. There are various methods used for fixation of these fractures. Tension band wiring (TBW) works by converting tensile forces into compressive forces when movements occur at the knee joint. The aim of our study was to evaluate the clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by TBW.Methods: This was the prospective study of 22 patients aged 20 to 60 years (mean age 41.4 years) with displaced transverse fractures of patella managed by TBW.Results: The final outcome was observed at 6 months follow up. The results were comparable with the existing literature. Radiological union was achieved within 10 to 16.2 weeks, with an average of 12.4 weeks. Out of 22, (n=16, 72.7%) had excellent outcome, (n=5, 22.7%) had good functional outcome, (n=1, 4.5%) had fair outcome. Complications were observed in 6 (27.3%) patients.Conclusions: It is concluded that the surgical treatment with TBW is the best treatment in the management of displaced transverse fractures of patella.

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Comparative study of Modified Tension Band Wiring versus Tension Band Through Parallel CannulatedCancellous Screws in Patella Fractures

Cited by 5 publications

References 6 publications

Management of patella fractures with different modalities

Management of patella fractures with different modalities

The Outcomes of Cannulated Screws Versus Tension Band Wiring in Treatment of Transverse Patellar Fracture: A Comparative Study

Clinico-radiological and functional outcome of surgical management of displaced transverse fracture of patella in adults managed by tension band wiring in a tertiary care hospital in North India: a prospective study

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