Background: Patellar fractures constitute about 1% of all skeletal injuries resulting from either direct or indirect trauma the subcutaneous nature of patella makes it vulnerable to direct trauma, whereas violent contraction of quadriceps result in indirect fractures of patella. Patella is the largest sesamoid bone in the body and forms integral part of extensor mechanism of the knee joint. Functional outcome of patella fractures depends on age, severity of injury, treatment modality, anatomical reduction and restoration of articular congruity, post-operative rehabilitation. Aim of the study is to assess the functional outcome of tension band wiring in transverse patella fracture.
Materials and Method: This study was carried out at the Department of Orthopaedics, Navodaya Medical College, Raichur over a period of 2 years. In this study 30 patients (23 male, 7 females) with transverse patella fracture were admitted and were treated by tension band wiring. Functional outcome was assessed as per knee pain score, good fellow grading for range of motion.
Results: A total of thirty patients were evaluated in our study of which there were 23 males and 7 females. Out of which 24 patients had excellent results, 4 had good results and 2 had fair results. At the end of 6th month majority of patients show excellent results according to good fellow grading range of motion.
Conclusion: The tension band wiring is safe and effective in the management of transverse patella fracture because of good stability of implant and easier postoperative rehabilitation.