[Double-loop cerclage wire No. 10 with the two-part patellar concertration for treatment of patellar comminuted fractures].
OBJECTIVE
To investigate the clinical effects of double-loop cerclage wire No. 10 and the two-part patellar concertration for treatment of comminuted patellar fracture.


METHODS
From June 2004 to June 2011, 86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No. 10 and the two-part patellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right, with 3 fracture pieces in 32 cases, 4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Bostman patella fractures criteria in all patients.


RESULTS
All patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Bdstman score was (27.65 +/- 2.05). The outcome was excellent in 78 cases and good in 8 cases.


CONCLUSIONS
The double-loop cerclage wire No. 10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity, good reduction, stable fixation,early functional exercise, and satisfactory functional recovery.
Department of Orthopedics, Pingliang People's Hospital, Pingliang 744000, Gansu, China. plzsz58258@sohu.com
Sheng-zhi
SZ
Zhang
Gui-ping
GP
Zhang
D000328:Adult; D000368:Aged; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000293:injuries* / Q000601:surgery