Mid-term (2-8 years) follow-up of open reduction and internal fixation of patella fractures: does the surgical technique influence the outcome?

被引:18
作者
Eggink, Karin M. [1 ]
Jaarsma, Ruurd L. [1 ]
机构
[1] Flinders Med Ctr, Bedford Pk, SA 5042, Australia
关键词
Patella fracture; Tension band wiring; K-wires; Osteoarthritis; Mid-term follow-up; TRANSVERSE FRACTURES; OPERATIVE TREATMENT; HEIGHT;
D O I
10.1007/s00402-010-1213-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The objective of the study was to evaluate the clinical and radiological results of internal fixation of patella fractures, comparing tension band wiring techniques with proximal only and proximally and distally bend Kirschner wires (K-wires). Over a period of 6 years, 60 patients met the criteria to be included in this study of which 40 were available for mid-term (2-8 years) clinical and radiological follow-up. Out of 60, 9 failures of fixation occurred, 3 due to migration of the K-wires and 6 because of insufficient tensioning of the tension band. Failure due to migration, only occurred in the group with the proximally bend only K-wire technique. Our recommendation is to distally bend the K-wires as well as proximally to prevent migration of K-wires.
引用
收藏
页码:399 / 404
页数:6
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