Journal of Musculoskeletal Trauma

Original Articles

Availability of Supplementary Circumferential Wire Loop in Treatment of Complicated Patellar Fracture: Ju Hong Lee; J Korean Soc Fract 1998;11(4):811-816. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.811

Abstract PDF: We have treated 22 patients of complicated patellar fracture with generally proposed fixation methods and supplementary circumferential wire loop as a checkrein or load sharing cable from Mar. 1995 to Feb. 1997 and then compared its surgical results with 15 patients of patellar fracture treated with modified tension band wiring alone in terms of functional recovery of the injured knee. The pattern of fracture was mostly comminuted(Bostman Type II), usually accompanying ipsilateral fractures with or without open wound, ligamentous injuries, or others. Although obtainning more satisfactory functional results in supplementary circumferential wire loop (68%) than control group(46.6%) in according to Lysholm and Gillquist scoring system and statistically significant difference in duration of regaining the functional arc of knee motion between two groups(p=0.007, Wilcoxon rank sum test) at 6 months postoperatively, we have found similar clinical results in two groups at 12 months follow-up(82% vs 80% in good results). Nevertheless, we thought that supplementary circumferential wire loop is one of the effective methods to improve the early surgical results of the complicated patellar fracture in respect of prompt regaining in knee motion.

Surgical Treatment of the Patellar Fractures: Hak Yeong Jeong, Seung Wook Yang, Young Cheol Shin, Han Sung Park, Tae Ho Joo; J Korean Soc Fract 1995;8(3):578-585. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.578

Abstract PDF: Recently the incidence of the patellar fracture has been increasing because of frequent traffic accidents and industrial accidents, and its treatment is considered very important due to the involvement of the articular suface occurs in most of the cases. Comminuted displaced fractures of the patella which are difficult to reduce accurately and to get stable internal fixation, may lead to traumatic osteoarthritis, chondromalacia, extension lag and limited ROM of the knee joint. The retrospective review was undertaken of 49 patients with patellar fractures treated by surgical methods and a follow up of more than 1 year at the Department of Orthopaedic Surgery at Maryknoll Hospital between Aug. 1987 and Jan. 1994. The findings were as follows: 1. Most fractures were encountered in man from twenties to forties. 2. The most common cause of fractures was traffic accident, followed by slip down or fall down. 3. Comminuted fracture was the most common type in this series. 4. Large separated fragments of the patella should be accurately reduced with rigid fixation in the rationale of the intraarticular fracture. 5. The most favorable results were obtained by Modified Tension Band Wiring with supplementary oircurnferential wiring for comminuted fractures and the result was superior to other operative methods.

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