Results of Using Tension Band Wiring for the Treatment of Transverse Patellar Fractures
Sajid Younus, Consultant Orthopedic Surgeon, Memon Medical Institute Hospital Karachi Pakistan.
Mushtaque Ahmed Shaikh, Assistant Professor Orthopedic Surgery, Chandka Medical college @ SMBBMU Larkana Pakistan
Waseem Ahmed, Assistant Professor Orthopedic, Muhammad Medical college and Hospital, Ibn e Sina University Mirpurkhas.
Muhammad Shuaib Chandio, Assistant Professor Orthopedic, Shaheed Mohtrama Benazir Bhutto Medical University Larkana Pakistan
Suhail Wisal, Consultant Orthopedic Surgeon, Khyber Teaching Hospital Peshawar Pakistan.
Abstract
Background: The patella, the largest sesamoid bone in the human body, is located inside the quadriceps tendon and has a significant impact on knee biomechanics. In contrast to most bones, it is triangular in shape, incredibly hard, and devoid of periosteal coating. The patella usually ossifies between the ages of 3 and 7 and completes throughout puberty. Approximately 1% of all skeletal injuries are patellar fractures, which primarily affect people from 20 to 50 years of age. Direct or indirect forces may be the cause of these fractures. The two main effects of a patellar fracture are possible patellofemoral joint misalignment and interruption of the continuity of the knee's extensor mechanism. Objective: To evaluate the functional outcomes of employing tension band wire to treat transverse patellar fractures. Study design: A cross-sectional study. Place and Duration This study was conducted at Memon Medical Institute Hospital in Karachi from July 2022 to July 2023. Methodology: A total of 100 people were involved in this research. All the participants in this research were those who were diagnosed with transverse patellar fractures. Patients who were involved in this study had type 1 open displaced transverse patellar fractures (>3 mm). The age of the participants in this investigation ranged from 20 to 60 years. The data was entered into Microsoft Excel and evaluated using the EPIFLO programme. For quantitative data, mean values and standard deviations were employed, while percentages were used to indicate qualitative factors. Results: In this study, a total of 100 participants were involved, of which 71 (71%) were male and 29 (29%) were female. The patients' ages varied from 20 to 60 years old. It was 43 years old on average. The majority of the patients belonged to the 51–60 age range. In this study, closed fractures accounted for 75% of all fractures. Within 24 hours after the injuries, 29 people underwent surgery. Conclusion: Tension band wiring is a safe and effective method of treating transverse patellar fractures since it can ease the postoperative rehabilitation period and offer continuous support.
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