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Functional outcome of TBW with cannulated cancellous screws fixation in transverse patella fracture: A single centre experience

Author: 
Dillip Kumar Chand and Barsha Tudu
Subject Area: 
Health Sciences
Abstract: 

Patella fractures constitute about 1% of all skeletal injuries and are seen frequently in the age range of 20-50 years. The purpose of our study to evaluate the effectiveness and safety of anterior tension band wire technique with two cannulated cancellous screws in patients with transverse patella fractures. This is a prospective study of 18 patients with transverse fracture or transverse fracture with mild communation patella fractures were treated in VSS institute of medical sciences and research from November 2014 to November 2016. There were 12 male (66%) and 6 female (33.3%). The age group ranged from 20-50 years (mean 35 years). All the patients were treated with open reduction and internal fixation using two paraller cannulated cancellous screw and 18G stainless steel wire as per TBW principle. Mean time to radiological union 11 weeks (9-13 weeks). Mean range of movement at 3 month follow up was 100 and 1 year follow up 135 degree respectively. The clinical and functional outcome of these patients were evaluated by radiograph and IOWA scoring. This technique showed improved fractured reduction and better Iowa score. This should be considered as an alternative method of treatement of transverse patella fracture.

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