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Self locking tension band technique in transverse patellar fractures

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Summary. Following tension band wiring of fractures of the patella, proximal K-wire migration is a common complication. To prevent this we have devised the ‘self locking tension band’ technique. The proximal K-wire ends are bent to form a loop and the cerclage wire passed through them. This prevents subsequent migration of the K-wires. We have treated 15 fractures using this technique. At a mean follow up of 30 months, no postoperative complications were found.

Résumé. La migration proximale des broches de Kirschner-certainement dûc à une mobilisation précoce- n’est pas une complication rare de l’ostéosynthèse par la technique du haubannage dans le traitement des fractures transversales de la rotule. Pour éviter cette complication, nous avons légèrement modifié la technique originale. L’extrêmité proximale des broches est recourbée en anneau dans lequel passe le fil de cerclage. Ainsi le cercle et les broches se verrouillent mutuellement. Entre Septembre 92 et Septembre 95, nous avons ainsi traité 15 patients. Le suivi moyen est de 30 mois et les résultats prometteurs.

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Accepted: 29 February 1996

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Us, A., Kinik, H. Self locking tension band technique in transverse patellar fractures. International Orthopaedics SICOT 20, 357–358 (1997). https://doi.org/10.1007/s002640050096

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  • DOI: https://doi.org/10.1007/s002640050096

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