Image Based Question – 74778

What is the management of the fracture shown below?

A. Tension band wiring

B. Above knee cast

C. Intramedullary nailing

D. Patellectomy

Correct Answer » A Explanation

Answer-A. Tension band wiring

The given X-ray shows disploced transversefracture ofpatella, which is treated by tension band wiring.

“Displaced transversefracture: The lateral expansions are torn and the entire extensor mechanisns is disrupted. Operation is essential. Through a longitudinal incision the.fracture is exposed and the patella repaired by the tension-band principle.

Thefragments are reduced and transfixed with two stiff K-wires;flexible wire is then looped tightly around the prolruding K-wires and ouer thefront ofthe patella.