Improved treatment of patella fractures with tension band wire.docVIP

 PAGE \* MERGEFORMAT 8 Improved treatment of patella fractures with tension band wire [Abstract] Objective To investigate the treatment of modified tension band wire patella fracture. Methods 121 patients were retrospectively analyzed. Results were excellent in 86 cases, good in 27 cases, 8 cases, good rate of 93%. Conclusion The method is compared with other approach has obvious advantages. effective, simple and easy to operate and inexpensive. [Keywords:] patella fracture fixation Patellar fractures occurred mainly in the 20 to 50 years old, with the development of transportation and an aging population, patellar fracture was increasing year by year trend. From January 1998 to December 2007, the author using a modified tension band wire treatment of 121 cases of patellar fracture, to avoid the patellar resection, early postoperative functional exercise can reduce the joint stiffness and even the occurrence of complications such as stiffness, and achieved satisfactory results, we now report the clinical data analysis is as follows. 1 Data and methods 1.1 General information on a total of 121 cases of this group of patients, male 89 cases, female 32 cases; aged 19 to 78 years, mean 42 years; the left side in 53 cases, the right side of 68 cases. The causes of injury: 67 cases of road accident, injury or kneeling 42 cases, 12 cases of fall injury. injury to the treatment time 2 h ~ 3 days. fractures type: 34 cases of transverse fractures; crushed no shift in 12 cases, bone fragments block 3 ~ 6; crush of displaced 75 cases, bone fragments 3 to 7 blocks; old fracture in 16 cases, 105 cases of fresh fractures. 1.2 The treatment of the patients were modified tension band wire fixation, without a regular full or partial removal of the patella. Incision with anterior U-shaped incision, S-shaped incision or a median longitudinal straight incision, fully reveal the patella, reduction under direct vision, to reset the bone clamp or circular needle as a