Understanding the Basic Principles and Biomechanics of Patellar Modified Tension Band Wiring Surgery: are we on a Monotonous Path for Fixing Transverse Patellar Fractures?
Rohil Singh Kakkar*
Department of Trauma and Orthopaedic Surgery, Sahyadri Hospital, Pune, India
*Corresponding Author: Rohil Singh Kakkar, Department of Trauma and
Orthopaedic Surgery, Sahyadri Hospital, Pune, India.
September 29, 2022; Published: November 11, 2022
Fractures of patella constitute up to 1% of all skeletal injuries with 70-80% of these having a transverse fracture pattern in adults with the absolute indication for surgical treatment being an extensor mechanism disruption [1-4,7]. The aim of surgical treatment in patella fracture is anatomical reduction, restoration of articular congruity, preserving patellar bone stock, and repairing the extensor mechanism. The modified tension band wiring (TBW) technique, which converts the tensile forces generated by the knee extensor into compressive forces at the joint line, has been widely acknowledged as the optimum treatment for displaced transverse patellar fractures due to its biomechanical superiority and economical benefits.
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