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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2008, Number 5

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Acta Ortop Mex 2008; 22 (5)

Transpatellar «W» cerclage with anterior tension band

Luna PD, Fuente ZJC, Pérez HJ, Meraz LG

Language: Spanish
References: 20
Page: 282-286
PDF size: 163.23 Kb.


ABSTRACT

Objective: To evaluate functional outcomes in postoperative period in patients with displaced transverse fracture of the patella treated with anterior tension band and double knot fixation. Material and methods: Multicentric case series: Traumatology and Orthopedic Surgery Hospitals «Lomas Verdes» and «Magdalena de las Salinas» of the Instituto Mexicano del Seguro Social (IMSS). Patients: eighteen patients with displaced transverse fracture of the patella, treated with open reduction and fixation with 1.2 mm ASIF wire in a parallel transpatellar and anterior tension band with a double knot disposition. Variables of interest: Flexion, knee function, visual analogous scale (VAS) for pain, surgical procedure time, and consolidation. Results: Male 13 (68.4%); female 5 (26.3%); surgical procedure time 63.2 ± 11.2 minutes; age 38.2 ± 12.8; body mass index (BMI) 15.6 ±3.8; height 163 cm ± 12.2; flexion at 4 weeks follow-up 6.3 ±0.9, at 8 weeks follow-up 91.5 ±13.2 and at 24 months follow-up 101.1 ± 12.2; VAS for pain at 4 weeks follow-up 6.3 ± 0.9, vs pain at 8 weeks follow-up 3.5 ± 1.2 (p ‹ 0001); IKDC at 8 weeks follow-up 71.3 ± 6, at 12 months follow-up 76.7 ± 5.2, vs IKDC at 24 months follow-up 84.9 ± 7.7 (p ‹ 0.05). Fracture consolidation was accomplished at 12 weeks in 94%, and 1 patient presented infection (6%). Conclusions: We accomplished satisfactory functional outcomes in patients with transverse patellar fractures using this technique.


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