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Treatment of patellar Fractures with Modified Tension Band Wiring
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Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Tae Young Choi
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J Korean Soc Fract 1999;12(4):872-878. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.872
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 Abstract
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- The aim of treatment of patellar fracture is the restoration of knee joint function and quadriceps muscle power. Comminuted and displaced fracture of the patella, which are difficult to reduce accurately and to get stable internal fixation, may lead to traumatic osteoarthritis, chondromalacia, limited ROM of the knee joint. In this series, we treated 29 cases of displaced transverse and comminuted fractures with modified tension band wiring. In severely comminuted fractures, the fragments were indirectly reduced by cerclage wire and then fixed with modified tension band wiring. We could obtain stable fixation and early ROM of the knee joint. There were 5 complications including wire breakage and wire loosening.
In this respect, we concluded that modified tension band wiring was a good method for displaced transverse and comminuted patellar fracture.
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Citations
Citations to this article as recorded by  - Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture
Jae-Chun Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2014; 27(1): 65. CrossRef
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Treatment of Acute Acromioclavicular Dislocation with Modified Phemister Technique
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Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Tae Young Choi
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J Korean Soc Fract 1999;12(3):686-692. Published online July 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.3.686
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Abstract
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- There are various kinds of operative methods for the treatment of acute acromioclavicular dislocation but many complications such as posttraumatic arthritis, limitation of shoulder motion, and recurrence of dislocation would be developed.
We have experienced 23 cases of acute acromioclavicular dislocation treated by modified Phemister technique from January 1992 to January 1997 and followed-up at least 1 year at Department of Orthopaedic Surgery, Pusan City Medical Center.
The results were as follows: 1. The clinical results were evaluated by Weaver and Dunn were good in 19 cases, fair in 3 cases, poor in 1 case.
2. The radiological results were evaluated by the difference of the distance from the coracoid process to the clavicle between normal and injured site. The comparison of coraco-clavicular distance after surgery(1.76 mm) with that of follow up(2.41 mm) showed no significant difference(P>0.05, by Student t-test).
3. There was no posttraumatic arthritis and limitation of shoulder motion in all cases. So we suggest that modified Phemister technique is a good method for aute acromioclavicular dislocation.
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