scholarly journals Double-Tension Wire Management of Nonunion Patella with Severe Quadriceps Contracture

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rohan Bhimani ◽  
Preeti Singh ◽  
Fardeen Bhimani
Keyword(s):  
Case Report ◽  
Knee Flexion ◽  
Left Knee ◽  
Current Level ◽  
Tension Band ◽  
Tension Band Wiring ◽  
X Ray ◽  
The Past ◽  
Tension Wire

Introduction. Nonunion patella with quadriceps contracture is an unusual orthopaedic finding. Very few cases have been recorded in the past with this complication. We present a case of a 40-year-old male with nonunion patella with quadriceps contracture secondary to trauma. Case Report. A 40-year-old male with posttraumatic nonunion patella with quadriceps contracture since 6 months presented with complaints of defect in the left knee with restriction of movements. X-ray of the left knee confirmed our findings. He underwent quadricepsplasty with double-tension band wiring for the patella followed by rigorous physiotherapy to achieve the current level of the knee flexion of 110 degrees. Conclusion. We conclude that quadricepsplasty with tension band wiring and neutralization wire is one of the good modalities of treatment for a nonunion patella associated with quadriceps contracture.

scholarly journals Bilateral patella fracture with unilateral refracture: a case report

2020 ◽  
Vol 7 (1) ◽  
pp. 175
Author(s):  
Santosh Reang ◽  
Pulak Saha ◽  
Tapan K. Das
Keyword(s):  
Case Report ◽  
Full Range ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patella Fracture ◽  
Range Of Movement ◽  
X Ray ◽  
Pathological Conditions ◽  
Patella Fractures ◽  
Good Range

<p class="abstract">Patella fracture consists of approximately 1% of all skeletal fractures. However bilateral patella fracture is even rarer (2-3% of all patella fractures) and is seen mostly in either dash board injuries or in different pathological conditions. A 21 year old male presented with bilateral patella fracture, where right patella was fractured due to RTA and the left one got fractured due to a fall while he was being helped for an X-ray for the first one. Bilateral tension band wiring was done and patient was being regularly followed up with good range of movement recovery. But again he had a fall in bathroom 3 month post-operative and on right side suffered a re-fracture. Modified tension band wiring was done. Patient gained full range of movement on both sides and returned to his normal activities at 9 months post op of index surgery. A case of bilateral patella fracture where mechanism of fracture for each patella fracture are different is unheard of. A case of bilateral patella fracture with re-fracture has not been reported yet in literature so far we know/ searched. Here we report and discuss the challenges in management of such a case and protocol we followed.</p>

scholarly journals Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Shadi Rezai ◽  
Stephen LoBue ◽  
Daniel Adams ◽  
Yewande Oladipo ◽  
Ramses Posso ◽  
...  
Keyword(s):  
Case Report ◽  
Developed Countries ◽  
Physiological Changes ◽  
Review Of The Literature ◽  
X Ray ◽  
Delay In Diagnosis ◽  
The Past ◽  
History Of ◽  
Chest X Ray ◽  
Patient Refusal

Background.Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients.

scholarly journals Surgical Treatment of Concomitant Scapular Spine Pseudoarthrosis and Rotator Cuff Impingement: A Case Report

2021 ◽  
Author(s):  
Hamid Rabie ◽  
Mohammad Reza Guity ◽  
Leila Oryadi Zanjani
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rotator Cuff ◽  
Bone Grafting ◽  
Case Reports ◽  
Rare Condition ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Aggressive Approach ◽  
Scapular Spine

Background: Nonunion and pseudoarthrosis formation following scapular spine fracture is a rare condition and is limited only to case reports. Some authors reported its association with rotator cuff impingement. Standard treatment is not defined well as the condition is rare. Case Report: Our patient was a 61-year-old man with painful nonunion in addition to cuff impingement. Surgical treatment by open reduction, internal fixation with reconstruction plate and tension band wiring, along with bone grafting led to fracture union, as well as complete resolution of the rotator cuff tendinopathy. Conclusion: Surgical fixation seems to be the best choice in treating scapular spine pseudoarthrosis. The first attempt should be the best, so we took an aggressive approach by the use of plating, tension band wiring, and bone grafting altogether.

scholarly journals Repair of Olecranon Fracture in a Dog with Pinning and Tension Band Wiring Techniques First Case Report in Bangladesh

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Thomby Paul ◽  
Sreekanta Biswas ◽  
Sabiha Zarin Tasnim Bristi ◽  
Debashish Sarker ◽  
Saroj Kumar Yadav ◽  
...  
Keyword(s):  
Case Report ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
First Case

Proximal radio-ulnar synostosis and nonunion after olecranon fracture tension-band wiring: A case report

2009 ◽  
Vol 18 (3) ◽  
pp. e40-e44 ◽  
Author(s):  
Pablo De Carli ◽  
Gerardo L. Gallucci ◽  
Agustín G. Donndorff ◽  
Jorge G. Boretto ◽  
Verónica A. Alfie
Keyword(s):  
Case Report ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture

scholarly journals Stress avulsion of the tibial tuberosity after tension band wiring of a patellar fracture: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Michael T Hirschmann ◽  
Björn Wind ◽  
Christian Mauch ◽  
Gesa Ickler ◽  
Niklaus F Friederich
Keyword(s):  
Case Report ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patellar Fracture

scholarly journals Osteotomy and Autograft Lengthening for Intra-Articular Malunion of the Proximal Ulna: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Job N. Doornberg ◽  
René K. Marti
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Iliac Crest ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Iliac Crest Bone Graft ◽  
Proximal Ulna

An osteotomy with interposition of iliac crest bone graft and lengthening of the proximal ulna can be used to restore ulnohumeral congruency after a malunited comminuted olecranon fracture treated with figure-of-eight tension band wiring.

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