Purpose
This study aims to evaluate the results of Patellar fractures fixation using cannulated screws and
fiber wire tension band.
Patients and Methods
A prospective study was held in Benha university hospital including 30 patients with
transverse patellar fractures fixed with cannulated screws with fiber wire tension band..
All the patients were followed up for a minimum period of 12 weeks and the maximum
period of follow up was 24 weeks. Post operatively, these patients were assessed
clinically by Levack's score. Fracture union was confirmed radiological. All patients were
evaluated and assessed using the questionnaires at 3, 6 months after surgery. Subjective
evaluation consisted of recording pain using (visual analogue scale) with Categorization
of pain to five levels: none, mild, moderate, severe, unbearable.
Results
The mean age of the studied patients was 32 ±9 years, and there was a male predominance
(70%). More than half of the patients had right-sided affection (56.7%). The mechanisms
of injury were direct(30%), falling(46.6%), or RTA(23.3%).the affected side was the right
side in (56.7%)and left side in (43.3%). The median time from injury was 3 days, and it
ranged from 1 to 6 days. The mean time of surgery was 41 ±18 minutes. All patients
showed radiological union at 8 weeks, passive ROM at 4 weeks, active ROM at 6 weeks,
start of weight-bearing as tolerated within brace at 4 weeks, and start of weight-bearing &
ROM without restrictions at 8 weeks At the final follow-up At 3 months, the median total
levacks score was 12, and it ranged from 9 to 12. At six months, the median was 12, and
the range significantly increased (11 – 12) (P < 0.001). The reported complications were
skin infection (13.3%), stiffness (6.7%), and mild pain (53.3%).
Conclusion
The cannulated screws with fiber wire tension band technique is a successful efficient treatment
of transverse patellar fractures. |
