A clinical study of fractures of patella treated with modified tension band wiring

Background & Objectives: In a country like India where the social habits and needs, require full range of knee flexion, the patella plays an important role. The most significant effect of patella fracture are loss of continuity of extensor mechanism of knee and potential incongruity of patello-femoral articulation. So it is necessary to preserve the patella and extensor apparatus. Hence the main objectives of this study are: To study the functional outcome by early mobilization, to study the complications of tension band wiring, to clinically evaluate the tension band wiring technique for fracture patella, to study the mode of injury for fracture patella. Methods: The present study consists of 30 selected cases of fractured patella treated by modified tension band wiring at Shri B M Patil Medical College Hospital and Research Centre, Vijayapur from December 2014 to March 2016. Results: In the present study 21 (70%) had excellent results, 7 (23.33%) had good results and 2(6.66%) had poor result. Interpretation and Conclusion: Early mobilization of the knee restores quadriceps power and range of Kneemotion within a short period. Excellent range of movement was achieved in 70%of cases, which is comparable to previous literature. In a country like India where the social habits and needs, require full range of knee flexion, the patella plays an important role.