Yerakula Ramana1, Dema Rajaiah2, Kuppa Srinivas3, Kolathuru Sudhaker4, Bommala Sivaiah5, Bandakadi Sreekanth Reddy6, andyalaVishnu Priya7, Bandi Amar Tej8
Fractures of the patella are common and constitute almost 1% of all skeletal injuries. The patella is important for the extension of the knee joint. Several methods of internally fixing the fractured patella have been advocated. This study is directed towards the clinical evaluation of the modified tension band wiring technique for the fractured patella
. MATERIALS AND METHODS
The present study consists of 15 cases with fracture patella treated with modified tension band wiring during the period from October 2014 to October 2016 at govt. general hospital, Kurnool.
All cases were operated using a midline anterior vertical skin incision, 80% had excellent results, with normal squatting, gradeV quadriceps power and complete range of movement at knee joint.20% of cases had difficulty in squatting, grade-IV quadriceps power and limitation of flexion. Minimal quadriceps wasting seen in 20% of cases.
From the analysis of the present study modified tension band wiring is the gold standard technique in management of transverse fracture patella.