Archives of Orthopaedic and Trauma Surgery

, Volume 121, Issue 1, pp 12–16

Patellar tension band wiring: a revised technique

  • C. C. Wu
  • C. L. Tai
  • W. J. Chen
Original article

DOI: 10.1007/s004020000183

Cite this article as:
Wu, C., Tai, C. & Chen, W. Arch Orth Traum Surg (2001) 121: 12. doi:10.1007/s004020000183

Abstract

Using a modified AO tension band wiring technique to treat a patellar fracture has become popular and has achieved a high success rate. However, the technique of Kirschner wire insertion has not been considered in detail, which may migrate and consequently introduce fragments loss of reduction. A revised technique involving bending both ends of the Kirschner wires was prospectively studied. Sixty-eight consecutive patients were so treated, and 62 patients were followed-up for at least 2 years (range 2–6 years). All fractures healed with a union rate of 100% (62/62) and a union period of 2.5 ± 0.5 months. Skin irritation was noted in 2 patients (3%). All patients achieved a satisfactory result. We therefore recommend this revised technique to treat all patellar fractures because of its high union rate and low complication rate.

Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • C. C. Wu
    • 1
  • C. L. Tai
    • 1
  • W. J. Chen
    • 1
  1. 1.Department of Orthopedics, Chang Gung Memorial Hospital, 5 Fu-Hsin St., 333 Kweishan, Taoyuan, Taiwan e-mail: ccwu@mail.cgu.edu.tw, Tel.: +886-3-3281200, ext. 2163, Fax: +886-3-3278113TW