Percutaneous cannulated screws with tension band wiring technique in patella fractures

Knee Surg Relat Res. 2013 Dec;25(4):215-9. doi: 10.5792/ksrr.2013.25.4.215. Epub 2013 Nov 29.

Abstract

Introduction: Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2-3 mm of fragment separation and/or articular incongruity.

Surgical technique: This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractures.

Materials and methods: We performed 30 cases of displaced transverse patellar fractures with this technique. The clinical outcomes of these patients were evaluated with simple radiographs, range of motion and Lyshom score.

Results: This technique has shown to provide satisfactory clinical results and excellent knee functions.

Conclusions: This technique provide stable fixation, allows early motion exercise by minimizing injury to extensor mechanism and reduce cosmetic problem in scar.

Keywords: Cannulated screw; Fracture; Modified tension band technique; Patella; Percutaneous surgery.