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Historically, the most commonly used technique for managing patellar fracture fixation is represented by the modified tension-band wiring technique [5, 13, 19, 23].
The aim of this study was to evaluate clinical outcome and rate of postoperative complications of patients who underwent an open reduction and internal fixation (ORIF) using a tension-band wiring technique with a FiberWire suture.
The wiring technique consists of three vertical wires and one transverse wire [ 18].
The tension band wiring technique is the most common method of transverse patella fracture fixation [ 1, 2, 5, 8– 10].
30 This study used the Kapandji wiring technique where pins are placed directly into the fracture and then into the proximal radius and thus act as mechanical supports.
Similarly, studies by Dargel et al. and Carpenter et al. have demonstrated that, in certain cases, interfragmentary screw fixation provides fixation that is even more stable and rigid than the modified tension band wiring technique [ 25, 26].
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Transarticular screws are biomechanically superior to wiring techniques and equivalent to C1 lateral mass to C2 pedicle (C1LM-C2P) fixation.
David Goldsholle, the founder and president of DoItYourself.com, said he once had to alert the Canadian police after one user threatened to burn down another person's house in a dispute on the bulletin board over electrical wiring techniques.
Although wire has proven the most reliable and widely used sternotomy closure material, no experimental studies have compared a large variety of wiring techniques in a human model.
Surgical instrumentation used for posterior craniocervical instability has evolved from simple wiring techniques to sophisticated implant systems that incorporate multiple means of rigid fixation for the cervical spine.
As this percutaneous cerclage wiring method includes soft tissue approximation in the wiring, it may be especially suitable for comminuted fractures for which classic tension band wiring techniques cannot be used.
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