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

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

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Patellar fractures represent approximately 1% of all fractures and the pattern is influenced by the quality of the bone and the energy Pre-Rolls 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 click here 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.