Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
trauma topic hub

Patella Fractures — Tension Band Wiring

Indications: displaced transverse fractures with intact extensor. Principle: converts tensile quadriceps force into compression at fracture site. Technique: 2 parallel K-wires + figure-of-8 SS wire. Avoid in comminution → partial patellectomy/plate fixation. Complications: hardware prominence, migration, stiffness.

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Indications: displaced transverse fractures with intact extensor. Principle: converts tensile quadriceps force into compression at fracture site. Technique: 2 parallel K-wires + figure-of-8 SS wire. Avoid in comminution → partial patellectomy/plate fixation. Complications: hardware prominence, migration, stiffness.
MCQs

High-yield practice questions

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Question 1

What is the primary indication for using tension band wiring in patella fractures?

Question 2

What is the main principle behind tension band wiring for patella fractures?

Question 3

Which of the following techniques is used in tension band wiring for patellar fractures?

Question 4

What is a potential complication of tension band wiring in patellar fractures?

Question 5

When is tension band wiring NOT recommended for patella fractures?

Question 6

What is the ideal postoperative management following tension band wiring for patellar fractures?

Question 7

Which radiographic view is most helpful in assessing patella fractures?

Question 8

What is the main blood supply to the patella?

Question 9

What clinical feature is indicative of a disrupted extensor mechanism in patellar fractures?

Question 10

What is the most common type of patella fracture?