Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique
Introduction: Comminuted inferior pole fractures of patella can be up to one-fifth of all patella fractures according to various studies. Management of these fractures is challenging because of very small fragment size to be amenable to conventional fixation techniques. Partial patellectomy is no lo...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1143 |
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| author | Mugundhan Moongilpatti Sengodan Yuganeswaran Marasamy |
| author_facet | Mugundhan Moongilpatti Sengodan Yuganeswaran Marasamy |
| author_sort | Mugundhan Moongilpatti Sengodan |
| collection | DOAJ |
| description | Introduction: Comminuted inferior pole fractures of patella can be up to one-fifth of all patella fractures according to various studies. Management of these fractures is challenging because of very small fragment size to be amenable to conventional fixation techniques. Partial patellectomy is no longer favored due to its high incidence of complications. Separate vertical wiring technique of Yang and Byun is one of the methods of internal fixation reported with successful clinical outcome.
Materials and methods: This is a prospective study of consecutive cases of comminuted inferior pole fractures of patella which were treated with separate vertical wiring technique from January 2017 to February 2020. We have operated 32 cases of which only 28 cases available for a minimum follow-up of 2 years were included in the study. Depending upon the number of comminuted fragments in the inferior pole, three or four vertical tunnels were made. Stainless steel wire of size 0.9 mm (20G) was used for the vertical wiring.
Results: We have analyzed the time taken for union by radiological follow-up at fortnightly intervals. The mean time taken for union in our study was 8.3 weeks. Clinical grading scale by Böstman et al. was used to assess the outcome at 2 years follow-up. The mean score was 28.4 (maximum of 30) in our study.
Conclusion: We conclude that separate vertical wiring is a reliable, reproducible, relatively simple, and cost-effective procedure in the treatment of comminuted inferior pole fractures of patella. |
| format | Article |
| id | doaj-art-4b7c61d8deb949baa26a324ce66b2df7 |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-4b7c61d8deb949baa26a324ce66b2df72025-02-07T11:18:35ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016215315710.5005/jojs-10079-114313Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective TechniqueMugundhan Moongilpatti Sengodan0https://orcid.org/0000-0003-0540-2087Yuganeswaran Marasamy1https://orcid.org/0009-0001-9864-5282Department of Orthopaedics, Coimbatore Medical College, Coimbatore, Tamil Nadu, India, Phone: +91 9842242824Department of Orthopaedics, Government Medical College, Tiruppur, Tamil Nadu, IndiaIntroduction: Comminuted inferior pole fractures of patella can be up to one-fifth of all patella fractures according to various studies. Management of these fractures is challenging because of very small fragment size to be amenable to conventional fixation techniques. Partial patellectomy is no longer favored due to its high incidence of complications. Separate vertical wiring technique of Yang and Byun is one of the methods of internal fixation reported with successful clinical outcome. Materials and methods: This is a prospective study of consecutive cases of comminuted inferior pole fractures of patella which were treated with separate vertical wiring technique from January 2017 to February 2020. We have operated 32 cases of which only 28 cases available for a minimum follow-up of 2 years were included in the study. Depending upon the number of comminuted fragments in the inferior pole, three or four vertical tunnels were made. Stainless steel wire of size 0.9 mm (20G) was used for the vertical wiring. Results: We have analyzed the time taken for union by radiological follow-up at fortnightly intervals. The mean time taken for union in our study was 8.3 weeks. Clinical grading scale by Böstman et al. was used to assess the outcome at 2 years follow-up. The mean score was 28.4 (maximum of 30) in our study. Conclusion: We conclude that separate vertical wiring is a reliable, reproducible, relatively simple, and cost-effective procedure in the treatment of comminuted inferior pole fractures of patella.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1143comminuted fractureinferior pole of patellaseparate vertical wiring |
| spellingShingle | Mugundhan Moongilpatti Sengodan Yuganeswaran Marasamy Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique Journal of Orthopedics and Joint Surgery comminuted fracture inferior pole of patella separate vertical wiring |
| title | Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique |
| title_full | Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique |
| title_fullStr | Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique |
| title_full_unstemmed | Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique |
| title_short | Separate Vertical Wiring for Comminuted Inferior Pole Fractures of Patella: An Effective Technique |
| title_sort | separate vertical wiring for comminuted inferior pole fractures of patella an effective technique |
| topic | comminuted fracture inferior pole of patella separate vertical wiring |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1143 |
| work_keys_str_mv | AT mugundhanmoongilpattisengodan separateverticalwiringforcomminutedinferiorpolefracturesofpatellaaneffectivetechnique AT yuganeswaranmarasamy separateverticalwiringforcomminutedinferiorpolefracturesofpatellaaneffectivetechnique |