Percutaneous Cannulated Screws with Tension Band Wiring Technique in Patella Fractures

knee-extensor mechanism, thus allowing early mobilization 3,4) .The usual surgical intervention is carried out through a long skin incision with a substantial soft tissues dissection to sufficient for fracture and joint-surface visualization.Wide surgical incisions are associated with a higher probability of postoperative adhesions 5) , prolonged disability for work, as well as a cosmetically unsightly scar 6) .The presence of lacerations or abrasions around the operative site may delay the surgery until the danger of contaminating the operative wound is minimal 7) .In contrast, percutaneous surgical techniques preserve the vascular supply of patellar fragments, which may improve fracture consolidation.However, this treatment is technically demanding and not applicable to all fracture patterns 8) .This technique combines the advantages of minimal invasive surgery and rigid internal fixation, thereby permitting early rehabilitation and good functional outcome. Surgical TechniqueUnder either general anaesthesia or spinal or epidural analgesia, the patients were placed in a supine position on a standard radiolucent operating table with the knee in full extension.Pneumatic tourniquet was applied to the upper thigh and inflated to control Percutaneous Cannulated Screws with Tension Band Wiring Technique in Patella Fractures