To study the treatment of comminuted patellar fractures using modified cerclage wiring

Abstract

Aim: To study the treatment of comminuted patellar fractures using modified cerclage wiring. Methods: This study was done in the department of Orthopedics, after taking the permission from the ethical committee. 50 cases of simple unilateral closed comminuted patellar fracture were treated by modified cerclage wiring. During follow-up, the Böstman clinical grading measures were used to evaluate the effects of the surgery in eight areas: range of mobility, discomfort, work, atrophy, assistance in working, effusion, giving way, and stair-climbing. 28–30 points were outstanding, 20–27 points were decent, and fewer than 20 points were low on these measures. Results: Using Böstman's clinical grading systems, the ultimate follow-up average score was 29.2 (range 19–30). The average score of 41 (82%) exceptional patients was 29.2±0.6, while the average score of 9 (18%) good patients was 25.11±1.9. Patients' knee flexion activity range was 130° (range 110–140), and the prognosis was favourable. Conclusion: A unique and successful strategy for treating a comminuted patellar fracture is modified cerclage wiring. This approach can give a firm and secure fixation, allow patients to do early functional exercises, and has a positive therapeutic impact.