Arthroscopic assisted percutaneous figure of eight tension band wiring of patellar fractures


DAVULCU C. D., ÜNLÜ M. C., Pirincci Y., Demir T., Kivrak A., Ozsahin M. K.

Kuwait Medical Journal, vol.54, no.2, pp.227-232, 2022 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 2
  • Publication Date: 2022
  • Journal Name: Kuwait Medical Journal
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
  • Page Numbers: pp.227-232
  • Keywords: arthroscopic assisted reduction, cerclage wiring, patella fracture, tension band
  • Ataturk University Affiliated: No

Abstract

© 2022, Kuwait Medical Association. All rights reserved.Objective: Different techniques have been reported involving combinations of K-wires, screws and cerclage wiring for the surgical treatment of patellar fractures in the case of disruption in the extension mechanism or articular incongruence of 2 mm or more. The aim of this study was to describe a new and easy arthroscopic assisted reduction and percutaneous tension band wiring technique for displaced fractures of the patella that combines the advantages of minimally invasive surgery and stable internal fixation. Design: Retrospective study Setting: Department of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey Subjects: Seventeen patients were treated with arthroscopic assisted reduction Intervention: Arthroscopic assisted reduction and percutaneous tension band wiring technique for transvers patella fracture Main outcome measures: Patients evaluated according to evidence of radiological union and articular incongruence, range of motion and activity level Results: The mean follow-up period was 18 months and the mean patient age was 41 years. Nonunion, articular incongruence or reduction loss were not detected in any case. Conclusion: The described technique is minimally invasive and cosmetically pleasing, permits ideal image of the reduction and stability of the fracture, allows concomitant intraarticular pathology to be exposed, and facilitates early rehabilitation. It should be considered as an alternate method of treatment in displaced transverse patella fractures with an altered joint surface.