Effective treatment for refractory fracture of patellar comminuted fracture

Primary tabs

NEWS
Effective treatment for refractory fracture of patellar comminuted fracture

As per the China Journal of Orthopaedics and Traumatology, the Kirschner wire with hole transverse fixation combined with titanium cable purse string suture is an advantageous treatment option for refractory fracture of comminuted patellar fracture.

A total of seven females and ten males between 28 to 67 years with a comminuted fracture who were treated with Kirschner wire with hole transverse fixation combined with titanium cable purse string suture between January 2014 to January 2016 were retrospectively analysed.

All the fractures were of type 34-C3.2 as per the AO/OTA fracture classification. Intervals of the first functional exercise postoperatively, operative time, blood loss, and complications were also examined. Meantime, Böstman scoring at ten months after the operation was used to evaluate the functional recovery.

A follow up of all patients for average 14.6±2.1 months were conducted. All incisions recovered at stage I. Clinical fracture healing time ranged from 11.7 to 16.5 weeks with an aggregate of (12.7±1.7) weeks; the first time of functional exercise ranged from 2 to 5 d with an average of (2.2±1.7) d; blood loss ranged from 41 to 72 ml with an average of (57.0±7.5) ml; operative time ranged from 67 to 95 min with an average of (71.4±11.5) min.  No complication such as loose or slippery of Kirschner pin, Kirschner pin stabbing the skin, wire escaped and broken, or bursitis with pain brought by the tip of Kirschner pin occurred. Twelve subjects gained excellent outcomes, four well and one loss. The postoperative Böstman score at ten months noticed was 28.15±1.74. The stable fixation, fewer complications along with good anatomical reduction, Kirschner wire with hole transverse fixation combined with titanium cable purse string suture is a potential treatment for comminuted fractures.

Source:

Zhongguo Gu Shang

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/30373339

Original title of the article:

Clinical effects of Kirschner wire with hole transverse fixation combined with titanium cable purse string suture for the treatment of refractory fracture of patellar comminuted fracture

Authors:

Yang R et al.

SearchTags: 
Therapeutic, Refractory Fracture, Patellar Comminuted Fracture Osteoporosis, Knee joint, Bones, Efficacy, Safety, Transverse Fixation
Log in or register to post comments