RESUMO
OBJECTIVE: To investigate the clinical effects of double-loop cerclage wire No. 10 and the two-part patellar concertration for treatment of comminuted patellar fracture. METHODS: From June 2004 to June 2011, 86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No. 10 and the two-part patellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right, with 3 fracture pieces in 32 cases, 4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Bostman patella fractures criteria in all patients. RESULTS: All patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Bdstman score was (27.65 +/- 2.05). The outcome was excellent in 78 cases and good in 8 cases. CONCLUSION: The double-loop cerclage wire No. 10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity, good reduction, stable fixation,early functional exercise, and satisfactory functional recovery.
