Modified tension band wire Improved surgical treatment of patellar fracture.docVIP

 PAGE \* MERGEFORMAT 7 Modified tension band wire Improved surgical treatment of patellar fracture Of: Deng Zhigang, Fang Kai, Wang Geng Fu, Han Gong silver, Li Rong Yan [Abstract] 67 cases of patellar fracture with modified tension band wire fixation of the line, the end of the needle handle, steel strapping means improvements have been made. Excellent recovery of knee function in this group was 97%. [Keywords:] patella fractures with tension band fixation Patellar fractures are articular fractures, tension band fixation in treatment of patellar fracture, rigid fixation, early range of motion exercises, significantly improved the therapeutic effect [1]. But there are still some clinical deficiencies, to improve the fixation of such method, in March 2000 ~ July 2006 we modified tension band wire fixation for improved treatment of 67 cases of patellar fracture, and achieved good results, summarized below. Clinical data 1 General Information of this group 67 cases, 43 cases were male, 24 female, aged 22 to 71 years, mean 44 years old. 54 cases of transverse patellar fracture, comminuted fracture can be reset in 9 cases, other methods of fixation failure of the old nonunion 4 cases of fracture. All fractures separationgt; 5mm, are suitable for the line tension band fixation. 2 surgical methods before the transverse patellar arc (convex to the far side) incision to expose the patella, remove blood clots, comminuted fracture that can be reset, first temporarily fixed with a fine Kirschner wire into the upper and lower poles 2 large, bone reduction under direct vision , towel clamp temporary fixed. parallel to the needle passed through two, very bent on pinning down bent, bending the front for the patella, around the Kirschner wire and the lower pole of the patella in front of the wire through the folding of extreme Good Kirschner wire “U” circle tightened, cut excess lower pole and upper pole of Kirschner wire at the tail end of needle retention