Tension-Band Fixation of Transverse Fracture Patellar Assisted with Cannulated Cancellous Screw - A Study Evaluation

Kenan, M. A.^1*, Junayed, S. A.², Habib, H. R.³ & Begum, K. F.⁴

¹Assistant Professor, Department of Orthopedics, Saheed Syed Nazrul Islam Medical College, Kishoreganj, Bangladesh
²Assistant Professor, Department of Orthopedics, National Institute of Traumatology & Orthopaedic Rehabilitation, Dhaka, Bangladesh
³Orthopedic Specialist, 250 Beded District Hospital, Kishoreganj, Bangladesh
⁴Resident Surgeon, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Kenan, M. A., Assistant Professor, Department of Orthopedics, Saheed Syed Nazrul Islam Medical College, Kishoreganj, Bangladesh.

Keywords: Transverse Fracture Patella; Tension Band Wiring (Tbw); Cannulated Cancellous Screw

Abstract

Background
Patella fractures account for approximately 1% of all skeletal injuries. The treatment of patellar fractures has undergone many changes in operative methods. Modified Tension Band Wiring Technique is gold standard but now a days Tension Band Fixation with Cannulated Cancellous Screw is well practicing. This study is directed towards the clinical evaluation of Tension Band Wiring Fixation Assisted with Cannulated Cancellous Screw for treatment of transverse fracture patella.
Methods
Patella fractures account for approximately 1% of all skeletal injuries. The treatment of patellar fractures has undergone many changes in operative methods. Modified Tension Band Wiring Technique is gold standard but now a days Tension Band Fixation with Cannulated Cancellous Screw is well practicing. This study is directed towards the clinical evaluation of Tension Band Wiring Fixation Assisted with Cannulated Cancellous Screw for treatment of transverse fracture patella.
Observation & Result
Subjective complaints and objective deficiency were recorded accordingly with other necessary parameter for evaluation of study during follow up. All patients healed within 4 months of operation. There was no reputation of soft tissue irritation, implant loosening or failure. According to Bostman et. al. scoring system 20 cases (83.3%) achieved excellent result, 3 (12.5%) patient showed good result. 1 (4.2%) patient with infection that controlled with judicious use of antibiotic showed unsatisfactory resultz.
Conclusion
This study suggested that among the multiple option for the treatment of transverse fracture patella Tension Band Wiring Assisted with Cannulated Cancellous Screw technique is one of the standard method for this orthopedic condition.

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