| ORIGINAL ARTICLES |
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| Year : 2023 | Volume
: 38
| Issue : 1 | Page : 24-31 |
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Is tension band wiring (osteosynthesis) with three Kirschner wires provide better outcome as compared with two Kirschner wires in patella fracture: A prospective randomized study
Sachin Kumar, Mohit Singh, Satish Kumar, Rahul Khare, Ajay Kumar Yadav, Deepak Kumar
Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Science & Dr. RML Hospital, New Delhi, India
Correspondence Address:
Mohit Singh
Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Science & Dr. RML Hospital, New Delhi
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jbjd.jbjd_48_22
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Background: Fractures of the patella constitute approximately 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring (TBW) is being done always with the help of two parallel Kirschner wires (K-wires). Objectives: Here in our prospective study, we intended to see whether the use of three parallel K-wires in comparison to the conventional one results in superior functional outcomes. Materials and Methods: A prospective cohort study was carried out in New Delhi from November 2016 to November 2019 in a total of 44 patients with patellar fractures operated by TBW with 22 patients in two parallel K-wires and three parallel K-wires groups, respectively. Patients were followed up postoperatively for 1 year and assessed by Lysholm knee score (LKS), pain status, working status, and other variables Normality of data was tested by Kolmogorov–Smirnov test and paired t test/Wilcoxon rank-sum test. Results: The total mean age was 40.27 years (41.86 in 2K-wire and 38.68 in 3K-wire) in this study. LKS (0.00 in both groups on first day; 99.23 and 99.45 after 1 year in 2K-wire and 3K-wire groups, respectively, pain status (was 5.0 in both groups on the first day and 1.0 after 6 month), and working status (was 5.0 in both groups on the first day and 1.09 after 1 year), were not significantly different throughout the mean to follow up periods for both groups (P > 0.05). Conclusions: No significant difference was observed between patellar TBW in 3K-wire and 2K-wire groups. |
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