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Patellar tension band wiring: a revised technique
1Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan. ccwu@mail.cgu.edu.tw
Archives of Orthopaedic and Trauma Surgery
|February 24, 2001
Summary
This study introduces a revised Kirschner wire technique for patellar fractures, significantly reducing complications. The modified AO tension band wiring method ensures high union rates and excellent patient outcomes.
Area of Science:
- Orthopedic surgery
- Traumatology
- Biomedical engineering
Background:
- Modified AO tension band wiring is popular for patellar fractures.
- Kirschner wire insertion technique details are often overlooked, risking migration and reduction loss.
Purpose of the Study:
- To evaluate a revised Kirschner wire technique for patellar fractures.
- To assess the safety and efficacy of bending Kirschner wire ends.
Main Methods:
- Prospective study of 68 patients with patellar fractures.
- Revised technique involved bending both ends of Kirschner wires.
- Follow-up of 62 patients for 2-6 years.
Main Results:
- 100% union rate in 62/62 patients.
- Average union period of 2.5 +/- 0.5 months.
- Only 3% (2 patients) experienced minor skin irritation.
Conclusions:
- The revised technique demonstrates a high union rate (100%) and low complication rate.
- Bending Kirschner wire ends is a safe and effective modification for patellar fracture treatment.
- This method is recommended for treating patellar fractures due to its favorable outcomes.
