Abstract: Background: Fractures of the eccentrically loaded bones like patella, olecranon, and medial malleolus are one of the most common fractures encountered by an orthopaedic surgeon. They continue to pose vexing problems as these being intra-articular are being subjected to continuous deforming forces from muscles.
Objectives: To evaluate the clinical results of the tension band wiring in patella, olecranon and malleolar fractures in adults.
Material & Methods: Study Design: A prospective hospital based observational study.
Study area: Department of Orthopaedics, Government General Hospital, Mahbubnagar.
Study Period: May 2022 – Jan 2023 [9 months].
Study population: Cases of fractures of Patella, Olecranon, Malleoli treated by tension band wiring.
Sample size: study consisted of 30 subjects.
Sampling Method: Purposive sampling technique.
Study tools and Data collection procedure: As soon as the patient was admitted, a detailed history was taken and a meticulous examination of the patient was done. The required information was recorded and proforma was prepared. Radiographs were taken in approximate views and diagnosis was established by clinical and radiological means. Then splinting of fractures was done with above knee POP slab for patellar fractures above elbow POP slab for olecranon fractures and below knee POP slab for medial malleolar fracture. All patients were taken for elective surgery as soon as possible after necessary blood, urine and radiographic preoperative work-up.
Results: In our study, best results were obtained in fracture of patella 60%, olecranon fracture 42.8%, and medial malleolus 46.15%. In total of 30 cases, 15 (50%) had excellent results, 8 (26.66%) had good results, 3 (10%) had fair and poor result is 4(13.33%).
Conclusion: It was concluded from the present study that, Tension band wiring by principle overcomes the distractive force, achieves compression at the fracture site and maintains the alignment by minimum hardware. By achieving compression at fracture site, the fracture heals faster and the patient is back to work earlier.
