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Erschienen in:
01.03.2011 | Trauma Surgery
Mid-term (2–8 years) follow-up of open reduction and internal fixation of patella fractures: does the surgical technique influence the outcome?
Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 3/2011
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Objective
The objective of the study was to evaluate the clinical and radiological results of internal fixation of patella fractures, comparing tension band wiring techniques with proximal only and proximally and distally bend Kirschner wires (K-wires).
Methods
Over a period of 6 years, 60 patients met the criteria to be included in this study of which 40 were available for mid-term (2–8 years) clinical and radiological follow-up.
Results
Out of 60, 9 failures of fixation occurred, 3 due to migration of the K-wires and 6 because of insufficient tensioning of the tension band. Failure due to migration, only occurred in the group with the proximally bend only K-wire technique.
Conclusion
Our recommendation is to distally bend the K-wires as well as proximally to prevent migration of K-wires.