Percutaneous cannulated screws with tension band wiring technique in patella fractures.

INTRODUCTION

Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2-3 mm of fragment separation and/or articular incongruity.

SURGICAL TECHNIQUE: This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractures.

MATERIALS AND

METHODS

We performed 30 cases of displaced transverse patellar fractures with this technique. The clinical outcomes of these patients were evaluated with simple radiographs, range of motion and Lyshom score.

RESULTS

This technique has shown to provide satisfactory clinical results and excellent knee functions.

CONCLUSIONS

This technique provide stable fixation, allows early motion exercise by minimizing injury to extensor mechanism and reduce cosmetic problem in scar.