Back to Search Start Over

Modified Tension Band Wiring Using Only Non-Absorbable Braided Polyblend Sutures for the Treatment of Patellar Fractures

Authors :
Annalisa Itro
Annalisa De Cicco
Gianluca Conza
Luca Schiavo
Niccolò Garofalo
Adriano Braile
Francesco Nappi
Giuseppe Toro
Source :
Surgical Techniques Development, Vol 13, Iss 2, Pp 227-236 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Patellar fractures represent approximately 1% of all fractures and the pattern is influenced by the quality of the bone and the energy of the trauma. Transverse fractures are associated with extensor mechanism failure and interruption of joint congruence. Patellar fractures are generally fixed using tension band principles, through K-wires and metal cerclage. The tension band was conceived to transform the considerable tensile force applied to the patella into a compressive one to obtain a stable fixation. The use of metal implants might be associated with a significant discomfort, mostly related to the irritating action of K-wires and cerclage on the surrounding soft tissues, often leading to the need for implant removal. Therefore, we introduced an original technique for fix patellar fractures by using only a non-adsorbable braided polyblend suture. Postoperative care included progressive range of motion recovery using an articulated knee brace and a specific protocol. The suture-only tension band technique seems to be a useful technique in terms of complications and reoperation rate while allowing secure and early mobilization.

Details

Language :
English
ISSN :
20389582
Volume :
13
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Surgical Techniques Development
Publication Type :
Academic Journal
Accession number :
edsdoj.384b78a1825a4e84a1f6bc5ae2bd26c5
Document Type :
article
Full Text :
https://doi.org/10.3390/std13020015