Surgical management of transverse fractures of patella by cannulated screws combined with tension band wiring: Prospective study

Abstract

Introduction: The patella plays an important role in range of motion of the knee joint. In a country like India where the social habits like squatting, sitting cross legged require full range of knee flexion. The most significant effect of patella fracture are loss of continuity of extensor mechanism of knee and potential incongruity of patello-femoral articulation. So it is necessary to preserve the patella and extensor apparatus. Materials and method: It is a prospective study which was carried out from November 2015 to May 2017 in MVJ Medical College and Research Hospital, Bengaluru. In this study period 30 cases of transverse fracture patella were treated by cannulated cancellous screws with tension band wiring. Results: In our study, majority of the patients were males, middle aged, with road traffic accidents being the commonest mode of injury. The fractures united in all 30 patients. Excellent results were in 25 patients (84%), 4(13%) patients having good results and 1(3%) patient having fair results. Conclusion: In view of the above results obtained from our study 84% excellent results: we concluded by mentioning that 4mm Cannulated cancellous screw fixation combined with tension band wiring is an effective treatment modality in the management of transverse fractures of the patella.