Wali Muhammad Khan, Muhammad Saqib, Muhammad Imran Khan, Muhammad Ayaz Khan.
Functional Outcome of Modified Tension Band Wiring in Transverse Fracture of Patella.
Ophthalmol Update Jan ;13(4):318-21.

Aim: To assess the functional outcome of modified tension band wiring in transverse fracture of patella. Materials & Methods: This is a prospective descriptive study. 20 patients with displaced transverse fractures of patella treated by modified tension band wiring were instructed to follow the rehabilitation protocol of early mobilization. For the evaluation, the modified knee pain score and Good fellow grading were used. Results: Total of 20 patients was enrolled in this study. Sixteen (80%) were male and 4 (20%) female; age ranged from 16 years to 60 years with a mean age of 42.91 years. There was gradual increase in the knee pain score and Good fellow grading in each follow up. Most of the patients had the maximum scores (50) at 6th month of follow up. And more than 50% of the patients had a Good fellow ?Good and fair? grading at 2nd month of follow up. But in the same evaluation, the female patients had a delayed functional outcome as compared to the male patients. Conclusion: Properly following the rehabilitation protocol post operatively after modified tension band wiring in transverse fractures of patella, the better function can be achieved earlier.

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