This paper is only available as a PDF. To read, Please Download here.
Abstract
We describe the use of a non-absorbable, braided, polyester suture, 5 Ti-Cron (Davis
and Geck, Gosport, Hampshire), for the fixation of patellar fractures as an alternative
to stainless steel wire. Seven patients had their fractures fixed with this material
and all progressed to union with good restoration of knee function. The case of use
of the suture allowed accurate reduction of the fractures and reduced operative and
tourniquet time. None of the patients suffered significant complications from the
procedure although two patients required removal of the suture because of knot symptoms.
This was easily performed under local anaesthetic on an out-patient basis. We believe
that non-absorbable suture is a good substitute for stainless steel wire and reduces
the need for a second procedure for wire removal.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Fracture of the patella: a study of 422 patellar fractures.Acta Orthop. Scand. Suppl. 1972; 143: 1-80
- Results of surgical treatment of patellar fractures.J. Bone Joint Surg. [Br]. 1985; 67-B: 416-419
- Knee function after patellectomy: a 12- to 48-year follow-up.J. Bone Joint Surg. [Br]. 1994; 76-B: 485-487
- Fractures of the patella treated by operation.Arch. Orthop. Trauma Surg. 1983; 102: 78-81
- Operative treatment of patellar fractures.Acta Orthop. Scand. 1971; 42: 437-438
- Efficacy of various forms of fixation of transverse fractures of the patella.J. Bone Joint Surg. [Am]. 1980; 62-A: 215-220
- Evaluation of methods of internal fixation of transverse patella fractures: a biomechanical study.J. Orthop. Trauma. 1994; 2: 147-153
- Treatment of fractures of the patella with percutaneous suture.Clin. Orthop. 1984; 191: 235-241
- Internal fixation for fractures of the patella.J. Bone Joint Surg. [Br]. 1990; 72-B: 280-282
- Fracture of the patella. A clinical study of 707 patellar fractures.Annales Chirurgiae et Gynaecologiae Fenniae—Supplement. 1971; 179: 1-85
- Fractured patella: operative treatment using the tension band principle.Injury. 1985; 16: 343-347
- Partial patellectomy for patellar fracture: tension band wiring and early mobilisation.J. Orthop. Trauma. 1993; 7: 252-260
- Biodegradable wire fixation in olecranon and patella fractures combined with biodegradable screws or plugs and compared with metallic fixation.Arch. Orthop. Trauma Surg. 1995; 114: 319-323
- Fractures of the lower extremity.in: Campbell's Operative Orthopaedics. 8th ed. Mosby Year Book, 1992
Article info
Publication history
Accepted:
June 25,
1997
Identification
Copyright
© 1998 Published by Elsevier Inc.
