Question
What is the management of the fracture shown below?
| A. |
Tension band wiring
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| B. |
Above knee cast
|
| C. |
Intramedullary nailing
|
| D. |
Patellectomy
|
Show Answer
|
Correct Answer � A
Explanation
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|
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.
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