A Comparative Analysis of Circumferential Wiring and Tension Band Wiring in Patellar Fractures Treatment
Authors/Creators
- 1. Senior Resident, Department of Orthopaedics, J.L.N.M.C.H., Bhagalpur, Bihar, India
- 2. Tutor, Department of Community Medicine, B.M.I.M.S., Pawapuri, Nalanda, Bihar, India
Description
Objectives: The study aims to compare the effectiveness of Tension Band Wiring (TBW) and Circumferential Wiring (CW) for the treatment of patellar fractures. It focuses on evaluating postoperative complications, range of motion, and functional outcomes to provide insights into the success of these surgical techniques. Methods: The present study took place in the department of orthopaedics at a tertiary care centre in Bihar, India and employed a prospective design with 80 patients having patellar fractures treated using either Tension Band Wiring (TBW) or Circumferential Wiring (CW). Outcomes, including post-surgical complications and outcome measures, were assessed to compare the efficacy of these surgical techniques. Results: The study revealed that after 12 weeks, 8 cases (13.33 %) exhibited movement restrictions up to 20 degrees. Superficial infection occurred in 5 % of cases treated with both Tension Band Wiring (TBW) and Circumferential Wiring (CW). 6 patients treated using TBW and 4 patients treated using CW showed signs of joint stiffness. These findings suggest similar postoperative complications between the two techniques. In addition, the limitations in range of motion were attributed to factors such as delayed medical consultation, K-wire migration, superficial infection, and periarticular adhesions. Conclusion: The study demonstrates that both Tension Band Wiring (TBW) and Circumferential Wiring (CW) offer comparable outcomes in the management of patellar fractures. The choice between these techniques can be based on the surgeon’s preference, as both exhibit similar rates of postoperative complications and functional results in the immediate and extended period.
Abstract (English)
Objectives: The study aims to compare the effectiveness of Tension Band Wiring (TBW) and Circumferential Wiring (CW) for the treatment of patellar fractures. It focuses on evaluating postoperative complications, range of motion, and functional outcomes to provide insights into the success of these surgical techniques. Methods: The present study took place in the department of orthopaedics at a tertiary care centre in Bihar, India and employed a prospective design with 80 patients having patellar fractures treated using either Tension Band Wiring (TBW) or Circumferential Wiring (CW). Outcomes, including post-surgical complications and outcome measures, were assessed to compare the efficacy of these surgical techniques. Results: The study revealed that after 12 weeks, 8 cases (13.33 %) exhibited movement restrictions up to 20 degrees. Superficial infection occurred in 5 % of cases treated with both Tension Band Wiring (TBW) and Circumferential Wiring (CW). 6 patients treated using TBW and 4 patients treated using CW showed signs of joint stiffness. These findings suggest similar postoperative complications between the two techniques. In addition, the limitations in range of motion were attributed to factors such as delayed medical consultation, K-wire migration, superficial infection, and periarticular adhesions. Conclusion: The study demonstrates that both Tension Band Wiring (TBW) and Circumferential Wiring (CW) offer comparable outcomes in the management of patellar fractures. The choice between these techniques can be based on the surgeon’s preference, as both exhibit similar rates of postoperative complications and functional results in the immediate and extended period.
Files
IJPCR,Vol15,Issue11,Article188.pdf
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Additional details
Dates
- Accepted
-
2023-11-20
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue11,Article188.pdf
- Development Status
- Active
References
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