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박용욱,정영기,유정한,노규철 대한골절학회 1996 대한골절학회지 Vol.9 No.4
The patella, lying within the quadriceps tendon mechanism and subcutaneous in position, is susceptible to the effects of both direct and indirect trauma. Patella fractures are iatra-articular injuries and have a significant effect on knee function. The tension band wiring technique is widely used for treating fractures of the patella and is often the treatment of choice. We reviewed tweenty nine cases of comminuted fracture of the patella treated with surgical methods from Jan. l989 to Mar. 1995 and followed up more than one year. from the department of orthopedic surgery. Kangnam Sacred Heart Hospital, Hallym University. The results were as follows: l. According to the classification of Bostman, there were 6 cases(20.7%) of type l. 16(55.2%) of I A, S(17.2%) of I 8 and 2(6.9%) of III. 2. Of (weenty nine cases, tweenty six(89.7%) were treated by modified tension band wiring with cerelage wiring (MTBW with CW) and three(10.3%) by partial patellectomy with cerelage wiring(PP with CW). 3. Among tweenty six cases treated with MTBW with CW, tweenty one casesp6.9%) revealed a good or excllent result according to the Cincinnati rating system. 4. Especially. among 5 cases of type I B 4 2 cases of type S comminuted fracture treated with E TBW with CW, 5 cases(71.4%) revealed good result. We concluded that the use of modified tension band wiring with cerelage wiring for the comminuted fracture of patella has been shown to be a satisfactory method.