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Journals / Acta Medica Alanya / 2025 / Cilt: 9 Sayı: 3

Comparison of Functional Outcomes of Comminuted and Simple Patellar Fractures Treated with Tension Band Wiring

Gergi Bandı Tekniği ile Tedavi Edilen Çok Parçalı Patella Kırıklarının Fonksiyonel Sonuçlarının, Basit İki Parçalı Kırıklarla Karşılaştırılması

Halil Büyükdoğan(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-0202-444X
Tahir Burak Sarıtaş(Tuzla Devlet Hastanesi)0009-0001-3049-1723
Burak Yıldırım(Kırklareli Eğitim ve Araştırma Hastanesi)0000-0002-0720-874X
Cemil Ertürk(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-9225-917X
Pages
179–184
Publication Date
2025-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, it may be insufficient for comminuted fractures, suggesting a need for evaluating alternative surgical fixation techniques for such cases.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This study aimed to compare the functional outcomes of comminuted (AO/OTA C3) patellar fractures treated with tension band wiring technique to those of simple two-part fractures (AO/OTA C1) treated with the same method.
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Key Findings & Data:Methods: Patients who underwent surgery for patellar fractures between 2017 and 2023 were retrospectively analyzed.
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Conclusion & Impact:However, it may be insufficient for comminuted fractures, suggesting a need for evaluating alternative surgical fixation techniques for such cases.
🔬Design:Araştırma Makalesi
📍Scope:2017 Verileri
⚙️Variables:Patella kırıkları · AO/OTA sınıflaması · Gergi bandı tekniği

Abstract

Aim: This study aimed to compare the functional outcomes of comminuted (AO/OTA C3) patellar fractures treated with tension band wiring technique to those of simple two-part fractures (AO/OTA C1) treated with the same method. Methods: Patients who underwent surgery for patellar fractures between 2017 and 2023 were retrospectively analyzed. A total of 83 patients met the inclusion criteria (C1: n=45; C3: n=38). All patients underwent open reduction and internal fixation with the tension band wiring technique. Functional outcomes were evaluated using the Böstman score. Statistical analysis was performed with SPSS 20.0 software. Results: There was no statistically significant difference between the groups in terms of age, sex, side, follow-up duration, or implant removal rates (p>0.05). The mean Böstman score was significantly higher in the C1 group (23.33±5.07) compared to the C3 group (19.58±6.48; p=0.005), indicating better functional outcomes in the simpler fracture type. Conclusion: The tension band wiring technique yields satisfactory results in simple two-part patellar fractures. However, it may be insufficient for comminuted fractures, suggesting a need for evaluating alternative surgical fixation techniques for such cases.

Özet

Amaç: Bu çalışmanın amacı, gergi bandı tekniği kullanılarak tedavi edilen çok parçalı (AO/OTA C3) patella kırıklarının fonksiyonel sonuçlarını, aynı teknikle tedavi edilmiş basit iki parçalı (AO/OTA C1) patella kırıkları ile karşılaştırmaktır. Yöntem: 2017–2023 yılları arasında patella kırığı nedeniyle opere edilen hastalar retrospektif olarak incelendi. Dahil edilme ve dışlanma kriterlerine göre 83 hasta çalışmaya alındı (C1: n=45; C3: n=38). Tüm hastalara gergi bandı tekniği ile açık redüksiyon ve iç fiksasyon uygulandı. Fonksiyonel değerlendirme Böstman skoru ile yapıldı. Verilerin analizinde SPSS 20.0 yazılımı kullanıldı. Bulgular: İki grup arasında yaş, cinsiyet, taraf, takip süresi ve implant çıkarılma oranları açısından istatistiksel fark saptanmadı (p>0.05). C1 grubunun ortalama Böstman skoru 23.33±5.07, C3 grubunun ise 19.58±6.48 olarak bulundu (p=0.005). C1 grubunun fonksiyonel sonuçları anlamlı düzeyde daha iyi saptandı. Sonuç: Gergi bandı tekniği, basit iki parçalı patella kırıklarında fonksiyonel açıdan tatmin edici sonuçlar vermektedir. Ancak çok parçalı kırıklarda bu yöntemin yetersiz kalabileceği ve alternatif cerrahi tekniklerin değerlendirilmesi gerektiği düşünülmektedir.

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Cite This Article

Büyükdoğan, H., Sarıtaş, T. B., Yıldırım, B., Ertürk, C. (2025). Comparison of Functional Outcomes of Comminuted and Simple Patellar Fractures Treated with Tension Band Wiring. Acta Medica Alanya, Cilt: 9 Sayı: 3, 179–184. https://doi.org/10.30565/medalanya.1712713

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