Study between fracture fixation of patella with cerclage and tension band wiring technique

Abstract

Introduction: In human body among the skeletal system patella is the largest sesamoid bone in the quadriceps tendon in the body. Surgery is required for about one third of patella facture that indicated damage to the extensor mechanism. Regarding treatment of patellar fracture there is a controversy since earliest time. TBW is consider as current gold standard for the displaced transverse patella fractures whereas some surgeons recommend augmentation of TBW with circumferential cerclage wiring to enhance the strength of the fixation. Aim: The main aim was study between fracture fixation of patella with cerclage and Tension Band Wiring technique. Material and Method: Total 62 patients with fracture of patella were included in this study with the age more than 20 years. Almost for all the patients surgery was performed and tourniquet was also used. By using a midline longitudinal incision surgery was done over anterior aspect of the knee. By using tension band wiring with or without augmented cerclage with stainless steel wire open reduction and internal fixation were done. After the surgery as post operative knee brace was given so that patients could start range of motion at knee without pain. To make sure that whether proper fixation was done or not Post-operative radiographs were also done. Result: In study total 50 patients were included in which 34(68%) were male and 16(32%) were female. Among 50 patients was included different age group in which more patients were in the age group of 40-50 years old as 36%. Conclusion: In the facture of patella modified TBW was better than encirclage wiring in treatment probably because of good stability of implant and easier postoperative rehabilitation. Hence use of circumferential cerclage wiring along with tension band wiring for fractures of patella has no added advantage over fixation with tension band wiring alone.