변형 장력대 강선고정술을 이용한 슬개골 분쇄 골절의 치료

Abstract

Purpose: To evaluate the radiographic and clinical results of patellar comminuted fractures using modified tension band wiring. Materials and Methods: Thirty five patellar fractures treated with modified tension band wiring followed for 19months in average, were evaluated retrospectively. The mean age was 47 years (range, 24 to 78).The patients were evaluated with radiographs, clinical examination with knee range of motion and Lysholm score. Results: Complete union was achieved in all cases. The mean ROM was 0-121 degrees(range, 100-130) in all cases except two cases. Average Lysholm score was 88.6(range, 81-96) at final follow-up. Conclusion: Modified tension band wiring was a good method forcomminuted patellar fractures because of minimization of posttraumatic knee ankylosis with early range of motion.

Key words: patella, comminuted fracture, modified tension band wiring