الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 123 |  |  |
| | | from | 123 | | |
Abstract
The patella is an important component of the extensor mechanism of the knee. Patellar fractures are relatively uncommon injuries which need to be fixed if displacement occurs more than 2 mm. Transverse fractures comprise the largest category. Patellar fractures are intra-articular fractures which need open reduction internal fixation. Several different techniques for internal fixation have been employed which include the AO modified tension band wiring, interfragmentary screws or figure of eight wiring through cannulated screws.
The current study confirms that functional and radiological results using Fiber wire tension band through cannulated screws were good and statistically comparable with the other techniques. We believe in this because it is relatively simple and rapid to perform with no hardware irritation or need for secondary operation for removal of hardware. In this study, 30 patients most of them were men, the average age of 32-year-old had trauma to their knee resulting in transverse patellar fracture and were treated with Fiber wire tension band through cannulated screws resulting in 100% bony union within 6 – 10 weeks’ average with maximum of 4 weeks of immobilization. We encourage the patient to start early passive range of movement at 4 weeks which result in almost normal range of motion within two months allowing early return to the ordinary work. Clinical and radiological results were satisfactory without any major complications. The final results were evaluated according to Levack’s score after three and six months of follow up. The limitation of this study was the number of patients that was relatively small and lack of direct comparison with the other fixation techniques.