Functional outcome of tension band wiring in transverse patella fracture

Abstract

Background: Patellar fractures constitute about 1% of all skeletal injuries resulting from either direct or indirect trauma. The subcutaneous nature of the patella makes it vulnerable to direct trauma, whereas violent contraction of the quadriceps results in indirect fractures of the patella. Patella is the largest sesamoid bone in the body and forms an integral part of the extensor mechanism of the knee joint. The functional outcome of patella fractures depends on age, the severity of the injury, treatment modality, anatomical reduction and restoration of articular congruity, post-operative rehabilitation. The study aims to assess the functional outcome of tension band wiring in transverse patella fracture. Materials and Method: This study was carried out at the Department of Orthopaedics, Navodaya Medical College, Raichur over a period of 2 years. In this study, 30 patients (23 male, 7 females) with transverse patella fracture were admitted and were treated by tension band wiring. Functional outcome was assessed as per knee pain score, good fellow grading for a range of motion. Results: A total of thirty patients were evaluated in our study, of which there were 23 males and 7 females. Out of which 24 patients had excellent results, 4 had good results and 2 had fair results. At the end of the 6th month, the majority of patients show excellent results according to good fellow grading range of motion. Conclusion: The tension band wiring is safe and effective in the management of transverse patella fracture because of the good stability of the implant and easier postoperative rehabilitation.