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Modified Tension Band Wiring Using FiberWire for Patellar Fractures
Clinics in Orthopedic Surgery ; : 244-248, 2019.
Article in English | WPRIM | ID: wpr-739480
ABSTRACT
In comminuted patellar fractures, we performed modified tension band wiring using a FiberWire (Arthrex) instead of the conventional methods. From March 2016 to March 2018, 63 patients with patellar fractures who needed surgical treatment were treated with modified tension band wiring using two Kirschner wires (K-wires) and FiberWire. We inserted two 1.6-mm K-wires perpendicular to the fracture line after accurate reduction. With the knee flexed over 90°, we sutured around the patella using a FiberWire. Visual analog scale score and Levack's score were improved postoperatively. The mean bone union time was 5.6 months. None of the patients had breakage of wires, and nonunion with deformity occurred in one patient. We think that our method can be easier to handle and reduce irritation or breakage of the wires than conventional methods. In addition, early rehabilitation can be allowed. Therefore, we suggest that this method could be a useful method for the treatment of patellar fractures.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Patella / Rehabilitation / Congenital Abnormalities / Bone Wires / Visual Analog Scale / Knee / Methods Limits: Humans Language: English Journal: Clinics in Orthopedic Surgery Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Patella / Rehabilitation / Congenital Abnormalities / Bone Wires / Visual Analog Scale / Knee / Methods Limits: Humans Language: English Journal: Clinics in Orthopedic Surgery Year: 2019 Type: Article