From the Research
Operative Procedure for Managing Patellar Fracture using Tension Band Wiring
The operative procedure for managing a patellar fracture using tension band wiring involves several key steps:
- The patient is positioned on the operating table and anesthesia is administered 1.
- An incision is made over the patella, and the fracture is exposed 2.
- The fracture is reduced, and a tension band wire is passed around the patella 1.
- The wire is tightened to secure the fracture reduction 2.
- The incision is closed, and the patient is taken to the recovery room 1.
Fixation Techniques
There are several fixation techniques that can be used in conjunction with tension band wiring, including:
- One-end K-wire bending fixation method 1.
- Both-ends K-wire bending fixation method, which has been shown to have a lower complication rate and better clinical outcomes 1.
- Modified anterior tension band wiring, which can be combined with cannulated screw fixation 2.
- Suture reduction technique combined with the modified Kirschner-wire tension band 3.
Postoperative Care
Postoperative care is crucial to ensure proper healing and to prevent complications:
- Early rehabilitation is recommended to avoid contractures of the knee joint capsule and cartilage degeneration 2.
- The patient should be followed up regularly to monitor the fracture healing and to assess the range of motion and knee function 3.
- Complications such as K-wire migration, flexion degree, and ROM should be monitored and addressed promptly 1.