title: A retrospective comparison of the modified tension band technique and the parallel titanium cannulated lag screw technique in transverse patella fracture.
abstract: OBJECTIVE
  To compare efficacy between the modified tension band technique and the parallel titanium cannulated lag screw technique for the transverse patella fracture.
  
  
  METHODS
  Seventy-two patients were retrospectively analyzed aged 22 to 79 years (mean, 55.6 years) with transverse patella fractures, among whom 37 patients underwent the modified tension band and 35 patients received the titanium cannulated lag screw. Patients were followed up for 1-3 years. We analyzed the difference of operation time, complications, fracture reduction, fracture healing time, and the Iowa score for knee function between both groups.
  
  
  RESULTS
  In modified tension band group, five patients had skin irritation and seven suffered wire migration, two of whom required a second operation. In comparison, there were no complications in the titanium cannulated lag screw group, which also had a higher fracture reduction rate and less operation time.
  
  
  CONCLUSIONS
  The parallel titanium cannulated lag screw technique has superior results and should be considered as an alternative method to treat transverse patella fracture.
authors.affiliation: Department of Orthopedics, First Norman Bethune Hospital of Jilin University, Changchun 130021, China.
authors.forename: Cheng-Xue
authors.initials: CX
authors.lastname: Wang
authors.forename: Lei
authors.initials: L
authors.lastname: Tan
authors.forename: Bao-Chang
authors.initials: BC
authors.lastname: Qi
authors.forename: Xiang-Feng
authors.initials: XF
authors.lastname: Hou
authors.forename: Yu-Long
authors.initials: YL
authors.lastname: Huang
authors.forename: Hai-Peng
authors.initials: HP
authors.lastname: Zhang
authors.forename: Tie-Cheng
authors.initials: TC
authors.lastname: Yu
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000293:injuries*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D014025:Titanium