• Sheng-zhi Zhang and Gui-ping Zhang.
• Department of Orthopedics, Pingliang People's Hospital, Pingliang 744000, Gansu, China. plzsz58258@sohu.com
• Zhongguo Gu Shang. 2012 Apr 1; 25 (4): 335-7.

ObjectiveTo investigate the clinical effects of double-loop cerclage wire No. 10 and the two-part patellar concertration for treatment of comminuted patellar fracture.MethodsFrom June 2004 to June 2011, 86 patients with comminuted patellar fracture were treated with double-loop cerclage wire No. 10 and the two-part patellar concertration. They included 48 males and 38 females ranging in age from 19 to 75 (mean 42.5) years. Fifty-two cases were affected in the left and 34 cases in the right, with 3 fracture pieces in 32 cases, 4 fracture pieces in 25 cases and more than 4 fracture pieces in 29 cases. The operation time was 40-70 minutes. The therapeutic effects were evaluated by Bostman patella fractures criteria in all patients.ResultsAll patients were followed-up for 3 months to 6 years (mean 3.5 years). The overall Bdstman score was (27.65 +/- 2.05). The outcome was excellent in 78 cases and good in 8 cases.ConclusionThe double-loop cerclage wire No. 10 and the two-part patellar concertration for comminuted patellar fracture is advantageous due to simplicity, good reduction, stable fixation,early functional exercise, and satisfactory functional recovery.

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