Department of Orthopaedic Surgery, Daejeon Sun Hospital, Daejeon, Korea.
Clin Orthop Surg. 2019 Jun;11(2):244-248. doi: 10.4055/cios.2019.11.2.244. Epub 2019 May 9.
In comminuted patellar fractures, we performed modified tension band wiring using a FiberWire (Arthrex) instead of the conventional methods. From March 2016 to March 2018, 63 patients with patellar fractures who needed surgical treatment were treated with modified tension band wiring using two Kirschner wires (K-wires) and FiberWire. We inserted two 1.6-mm K-wires perpendicular to the fracture line after accurate reduction. With the knee flexed over 90°, we sutured around the patella using a FiberWire. Visual analog scale score and Levack's score were improved postoperatively. The mean bone union time was 5.6 months. None of the patients had breakage of wires, and nonunion with deformity occurred in one patient. We think that our method can be easier to handle and reduce irritation or breakage of the wires than conventional methods. In addition, early rehabilitation can be allowed. Therefore, we suggest that this method could be a useful method for the treatment of patellar fractures.
在粉碎性髌骨骨折中，我们使用 Arthrex 的 FiberWire（菲斯特线）替代传统方法进行改良张力带固定。2016 年 3 月至 2018 年 3 月，我们对 63 例需要手术治疗的髌骨骨折患者采用改良张力带固定术，使用两根克氏针（K 针）和 FiberWire（菲斯特线）。在准确复位后，我们将两根 1.6mm 的 K 针垂直于骨折线插入。膝关节屈曲超过 90°时，我们使用 FiberWire 环绕髌骨进行缝合。术后视觉模拟评分和莱维克评分均得到改善。平均骨愈合时间为 5.6 个月。无患者出现缝线断裂，1 例患者出现畸形愈合。我们认为，与传统方法相比，我们的方法更容易操作，并且减少了缝线的刺激或断裂。此外，可以允许早期康复。因此，我们建议该方法可作为治疗髌骨骨折的一种有效方法。
