Journal of Cardiovascular Disease Research
To compare functional outcomes and determine complications associated with both the techniques and their management of two part patella fractures treated with conventional tension band wiring fixation and CC screw fixation.
Dr. Narendra Nagle, Dr. Vishal Ahke, Dr. Gavrav Akhand, Dr. Akshay Gadekar, Dr. Ishan Khanna, & Dr. Rajeev Y Kelkar
JCDR. 2023: 2192-2195
Abstract
The aim of the study is to compare functional outcomes and determine complications associated with both the techniques and their management of two part patella fractures treated with conventional tension band wiring fixation and CC screw fixation. All patients reported to OPD/emergency room with history of trauma, swelling in knee. Primary and secondary survey was done to rule out any other injuries. After necessary intervention like fluid and analgesics standard anteroposterior and lateral radiograph of affected knee were ordered. Result: The distribution of patients according to comorbidities. In TBW Group, 1 (6.7%) patient had diabetes mellitus and 1 (6.7%) patient had hypertension. In CC Group, 2 (13.3%) patient had hypertension and 1 (6.7%) patient had infection. In both the groups comorbidities were seen in only few of the patients. The distribution of patients according to complications. In TBW group, 1 (6.7%) patients had implant failure, and 2 (13.3%) patients had migration of wire. In 12 (80%) patients no complications were seen. In CC group, none of the patients had any complications. Conclusion: There are no major complications in the form of loss of reduction, or soft tissue irritation due to hardware in CC screw group. The final results in the form of functional outcome after six month of surgery are satisfactory.
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